About one million people in Bangladesh are living in different slums in Dhaka and Korail is the largest slum of the city with more than 250000 residents. These slums are deprived from most of the basic services and cares such as sanitation, water supply and healthcare. Moreover, the situation related to mental health care might be more disappointing. However, there is no well organized service delivery map to inform us about the existing the mental health care facilities and service provider to plan a feasible real life solution for this community.

In this research, we aimed to fill this gap by developing Geographical Information Systems (GIS) integrated service delivery mapping of the slum and get a clear idea about the existing service institutional and individual level related to mental health care and related services to design and develop effective and acceptable real life solutions in the TRANSFORM Project for the person with serious mental disorders in the slum.

We followed stepwise apaprach starting from reviewing the literature and other docuements to gain detailed information about the geographical coverage, culture, institutions and services those were working in the Korail slum. After this, we visited the slum to get an idea of the key landmarks and conducted stakeholders and experts meeting about data collection framework design and drafting questionnaire. Based on the discussion, the questionnaire was pretested and finalized. Then this drafted questionnaire was transferred into KoBo Collect for data collection. We tested the feasibility of KOBO tools before final data collection. We recruited the data collector from the local community and trained them to collected service institutions and service providers information with GPS locations captured with 5m accuracy level in 2022. Data was organized and analyzed using Microsoft excel and a KML file was created.

We found 66 Pharmacies, 50 Schools, 24 Traditional Healers, 20 Religious Institutions (mosjid mondir), 19 Madrasas, 66 medicine store, 13 health care provider chambers, 5 NGOs’ office and 2 private clinics inside the slum. Among 24 traditional healers, 20 were male and all the four female traditional healers had no formal education. The 19 faith based healers (9 madrasa teachers and 10 Imam & muajjin) provide healing practice (Jhar-fook/ panipara/tabiz/ Tadbir etc.). The community health workers of different NGOs work in the slum however, many organizations did not had their official set up in the slum. Moreover, during the service delivery mapping, we found no established mental health service in korail.

GIS based service delivery mapping helps us in a deeper understanding of the community and to design and implement real-life mental health solutions.

None Declared

The co-occurrence of severe mental disorders (SMD) and physical health issues requires integrated care models that address both effectively. While interest in this area is growing, recent syntheses remain limited, particularly regarding technological advancements and the sustainability of health systems. This scoping literature review (SLR) supports the EUropean Mental and Physical Health Initiative (EU-MIND, THCS Horizon Europe) by examining integrated care for comorbid SMD and physical health conditions.

The review aimed to identify integrated care models for SMD and physical health conditions, with a focus on technology and sustainability. Findings will inform subsequent EU-MIND phases, including a Delphi survey, financial impact assessment, and feasibility pilot studies.

Following PRISMA-ScR guidelines, we conducted a comprehensive search strategy in PubMed, Embase, Cochrane Library, and gray literature from inception to November 2024. Data were analyzed using the SELFIE framework, categorizing findings by WHO health system components (service delivery, governance, workforce, financing, technologies, and information).

We reviewed over 75 studies on integrated care models, highlighting the value of coordinated mental and physical healthcare, particularly in community settings. Digital tools such as telemedicine and electronic patient-reported measures (ePREMs, ePROMs) enable sustainable care and efficient data-sharing. Challenges identified include workforce training gaps, inconsistent financing, and limited support for addressing social determinants of health (SDOH). The integration of roles like nurse practitioners and lay workers remains underutilized due to system barriers. Collaborative care models and self-management interventions, especially those involving primary care and mental health professionals, have proven effective in reducing depressive symptoms, improving quality of life, and lowering healthcare costs. Despite progress, challenges in fully integrating care systems persist across healthcare settings. Understanding these barriers requires exploring the perspectives of all stakeholders (patients, healthcare professionals, policymakers).

This SLR identifies key components and gaps in integrated care for individuals with comorbid SMD and physical health conditions. It highlights the importance of flexible governance, strategic integration of digital tools, and context-specific policies. Addressing these gaps can lead to more adaptive, sustainable, and patient-centered service delivery models. These findings provide a foundation for evidence-based decisions aimed at advancing multidisciplinary, integrated care approaches across European healthcare systems to better meet the complex needs of individuals with SMD.

None Declared

The definition of a missing individual includes the description of a person whose location is not known alongside alarming signs concerning his state of security and health. Despite thousands of people reportedly missing every year, limited information is available about their identity, the reason of their disappearance and their final evolving.

To explore the relation between poor mental health and reports of missing people.

A review of 29 articles -from 2010 to 2024- on PubMed and Google Scholar regarding people suffering from mental illness who were reported missing.

1 in 5 missing children suffer from mental illness.

1 in 10 missing children is at risk of suicide.

8 in every 10 missing adults suffer from mental health problems.

4 in every 10 people with dementia will go missing eventually, in many cases involuntarily.

3 in 10 missing adults face relationship issues with their partner or relatives.

1 in 50 missing adults struggle with domestic violence.

20% of missing individuals commit suicide, with the majority of them being men who use violent methods such as drowning or hanging.

Those usually reported missing are: females aged 13-17 and men aged 24-30.

Juveniles and adults under 60s usually go missing deliberately, compared to people of different ages.

Reasons for psychiatric patients to go missing, include: disappointment by healthcare professionals; different opinions than their loved ones’ concerning their health; feelings of helplessness; belief that going missing is the only solution.

Mental illness can be both the cause and the consequence of an individual going missing. Missing incidents in many cases represent a veritable moment of crisis and should be approached as such in someone’s life. Unfortunately, when a person is found by authorities, support is rarely offered, potentially strengthening the feelings of hopelessness and despair of the previously missing person.

Mental health care professionals must be in alert after a missing’s person return, ready to offer him their services.

None Declared

As a first-year resident doctor in specialized psychiatry training in Portugal, I have begun my inpatient internship, which is the longest component of the psychiatry residency program. At the Department of Psychiatry and Mental Health at the Viseu Dão-Lafões Local Health Unit, residents are assigned to follow patients under the supervision of specialists and rotate through cases managed by different psychiatrists. This internship focuses on acute patients, with a predominant presence of affective and psychotic disorders.

This study aims to characterize patients hospitalized in an acute care unit, based on a sample monitored by the author.

The data for this study was obtained from electronic health records systems used in Portugal, specifically Sclinico and Alert, covering information on patients I followed during the first nine months of 2024. Additionally, we conducted a literature review on this topic using PubMed.

The study sample comprised 20 female and 17 male patients. On average, the age of female patients is approximately 10 years higher than that of male patients, with women averaging 56 years and men averaging 46 years. The majority of male patients are hospitalized involuntarily under Portugal’s Mental Health Law, whereas this is less common among female patients.

The primary reason for hospitalization in men is psychotic decompensation within the context of schizophrenia, while affective disorders are predominant among female patients. The average length of stay is 45 days for male patients and 30 days for female patients.

The longer average hospital stay for men may be linked to psychotic decompensation, often due to non-compliance with therapy. This lack of insight frequently results in involuntary hospitalization due to the risks posed to themselves and others. In contrast, affective disorders generally involve better-preserved insight, which could explain the shorter average hospital stays for women.

None Declared

Psychotic disorders typically have their onset in adolescence, a formative age that comes with many developmental challenges. The onset of mental illness in this phase of life can be very disruptive. Literacy on the nature and potential impact of psychosis can promote recovery, while family interventions have the potential to prevent relapse. Moreover, many patients and family members report a need for tools that provide guidelines to improve their communication and stimulate mutual understanding. However, an integrated psyche-education module for both adolescents with lived experience and their relatives was lacking until now.

The development of a new integrated psycho-education module and the content of this module will be presented,

Stakeholders (people with lived experience and family members) were interviewed on their preferences for the content, form and timing of psycho-education individually (n=15) and in focus groups (n=7). This information was used by a task force of experts composed of people with lived experience with psychosis, family members and mental health professionals. Subsequently, the intervention was piloted in two mental health care organizations.

Adolescents with lived experience preferred psycho-education on communications skills and wanted to learn how to communicate with their relatives during and after the psychotic episode, adjusted to their specific situation. They prefer psycho-education together with their relatives, not separately. They also noted that the content of psycho-education may differ depending on the relationship they have with their relatives. Relatives and people with lived experience both reported they needed basic knowledge about psychosis, training in communication and problem solving skills, content with respect to self-care and content about online information. With regards to the timing of psycho-education, relatives preferred basic information as soon as possible and communication skills later on.

Both groups felt an integrated psycho-education could be beneficial. The final integrated module is composed of themes related to different dimensions of recovery, e.g. societal and social impact and spirituality. Results of the pilot were used to refine the module.

This new integrated psycho-education module was based on stakeholders preferences and needs and was found to be helpful to increase mental health literacy and communication between adolescents with lived experience with psychosis and their relatives.

None Declared

Burnout among medical professionals, particularly psychiatry doctors, is a pressing concern. High-stress environments, heavy workloads, and emotional demands can lead to physical, emotional, and mental exhaustion. Pakistani psychiatry trainees face unique challenges, including intensive training, high patient volumes, and limited support. Despite its implications for patient care and doctor well-being, limited research exists on burnout among Pakistani psychiatry doctors.

To investigate burnout prevalence, contributing factors, effects, and coping strategies among Pakistani psychiatry trainees, informing evidence-based interventions to promote well-being and improve patient care.

A cross-sectional online survey was conducted among psychiatry doctors from 10 hospitals in Pakistan (July 26, 2024 – September 25, 2024). The questionnaire assessed demographic characteristics, burnout factors, effects, and coping strategies.

The survey revealed significant burnout factors, including insufficient support from colleagues/administration (42.3%), high workload (23.1%), personal life stressors (19.2%), long working hours (11.5%), and lack of control (3.5%). Burnout effects included physical health issues (30.8%), mental health issues (30.8%), relationship strain (25.4%), and reduced job satisfaction (23.1%). Participants employed various coping strategies, such as having fun/leisure activities (38.5%), time management techniques (29.2%), engaging in self-care activities (26.9%), setting boundaries at work (11.5%), and seeking professional help (3.9%). Notably, the majority of participants (80.8%) were trainees, highlighting the vulnerability of this group to burnout.

This study highlights the alarming prevalence of burnout among Pakistani psychiatry doctors, underscoring the need for targeted interventions to promote support, workload management, and work-life balance.

None Declared

In Ireland, 1 in 5 young adults (aged 18-25) experience moderate to severe levels of depression and anxiety. To meet the growing need for mental health supports, Jigsaw – The National Centre for Youth Mental Health – provides accessible, early intervention services throughout Ireland. Building on its reputation for championing youth voices and inspired by examples set by other international integrated youth mental health services, one such strategy Jigsaw is exploring is youth peer support.Peer support offers social, emotional, and practical assistance from young people with personal experience of mental health challenges. Evidence suggests that peer support can positively impact young people by promoting a recovery-based approach to mental health. However, despite the recognized benefits, peer support is underutilized in Irish youth mental health services, and there is limited guidance available for its development.

This research adopts a collaborative approach to intervention development, aiming to create an evidence-informed framework to guide the introduction of peer support in Jigsaw services.

This PhD project adheres to the Medical Research Council’s Guidance for Developing and Evaluating Complex Interventions. The first stage of this project comprised a published scoping review of peer support in integrated youth mental health services and educational settings. The second stage of the project aimed to understand the benefits and challenges of peer support using semi-structured interviews with mental health professionals. The final stage of the project will take a participatory approach to intervention design, utilizing co-design workshops with stakeholders to identify potential intervention functions.

The scoping review identified common types of peer support programs (peer-delivered one-to-one support, self-help groups, and internet support groups) and target problems addressed (depression, anxiety, and psychological distress). Interviews with fifteen professionals revealed insights into the benefits of peer support for young people, such as increased connection and empowerment, and for services, such as reduced power imbalances and increased accessibility. Challenges for implementation were also identified, including boundary management, funding, and resource allocation. The ongoing final stage focuses on developing a program theory underpinning a potential peer support intervention in Jigsaw. Key stakeholders, including Jigsaw’s senior management and youth advisory panel (YAP), will be consulted to identify intervention components.

Recommendations regarding key components of peer support, as well as barriers and facilitators to its implementation, will be shared to support other organizations in enhancing their understanding and application of peer support for youth mental health.

None Declared

The relationship between psychosis and ayahuasca use is a topic of considerable interest and debate in the scientific and medical community. Ayahuasca is traditionally used in shamanic ceremonies in the Amazon, composed mainly of the Banisteriopsis caapi vine and the leaves of Psychotria viridis, which contain DMT (dimethyltryptamine), a powerful hallucinogen.

Ayahuasca induces altered states of consciousness, with experiences that can include visions, deep introspection, and changes in the perception of reality. The experience can be intense and emotionally overwhelming. In individuals with a history of psychosis or psychiatric disorders, ayahuasca may more easily trigger a psychotic episode. The interaction with neurotransmitters and the serotonergic system can influence their appearance.

We report a case of a patient who, after consuming ayahuasca, presented a psychotic episode that required hospitalization. After the initiation of treatment with antipsychotics, the condition had a favorable evolution towards the complete resolution of the symptoms.

Given the increasingly frequent use of ayahuasca in developed societies, the current case highlights the needs to understand, regulate and research the use of ayahuasca. Additionally, raising awareness of the potential risks of ayahuasca use through psychoeducation should be implemented.

Describe the case of a psychotic episode induced by ayahuasca: Clinical debut, symptoms and evolution after initiation of treatment.

Description of a clinical case as well as bibliographic review.

The relationship between hallucinogens and psychosis is a critical area of study due to the intense and potentially destabilizing effects that hallucinogens can have on people with this condition. Hallucinogens can trigger or aggravate psychotic symptoms, which may include hallucinations and delusions. We must keep in mind that hallucinogens can interact negatively with antipsychotics or other medications used to treat psychosis. These interactions may reduce the effectiveness of treatment or cause adverse side effects, as well as affect adherence to treatment, as it may lead to an alteration in the perception of the need for medication or the ability to follow the treatment regimen.

Ayahuasca use can have profound and potentially destabilizing effects, especially in people with a history of psychotic disorders. Although there is therapeutic potential, it is crucial to proceed with caution and under the supervision of trained professionals. Proper preparation and risk assessment are essential to minimize potential adverse effects.

None Declared

This audit was undertaken to look at side-effect monitoring of patients on depot antipsychotics within the North Tyneside CTT. This was the fourth reaudit of this patient group, with the most recent one having been in 2019, highlighting a gap in re-audits during the height of the COVID-19 pandemic.

The objective of this audit was to ensure adherence to the following standards, as per National Institute for Health and Care Excellence (NICE) guidelines and local trust guidelines pertaining to antipsychotic monitoring: 1. 100% of patients on depot anti-psychotics should have side effect monitoring, in the form of a Glasgow Antipsychotic Side-Effect Scale (GASS) form, completed every year. 2. 100% of patients on depot anti-psychotics should have a GASS form completed ever, since starting their antipsychotic medication. 3. Completed GASS forms should be accessible on RiO (online noting system).

Data collection occurred and concluded in March 2022. This involved identifying patients on depot antipsychotics within the CTT, pseudo anonymising them by patient number and basic demographics, then utilising RiO to identify whether they have had antipsychotic monitoring using a GASS questionnaire as per the guidelines outlined above. This data was then represented in excel form, allowing us to appraise adherence to guidelines and changes from previous audits performed on this topic. We then utilised a traffic light system where green represented a score of 90-100% (compliant), yellow 80-89% (partially compliant), and red 0-79% (non-compliant).

53% of patients had a GASS completed in the past year (red). 95% have had a GASS completed ever (green). 98% of GASS were recorded on RiO (green). Demographic and diagnostic data was also gathered and are available in the full body of the report and poster.

Image 1:

Image 2:

Image 3:

There has been a reduction in the percentage of patients having had a GASS in past year from 88% in 2019 to 53% now. This is likely to represent a disruption to services during the COVID-19 pandemic, forming obstacles to face-to-face reviews of patients. There was an increase in patients on depot antipsychotics from 90 in 2019 to 139 in 2022. There was a marginal improvement in documentation, with 98% of GASS questionnaires recorded on RiO in 2022, compared with 97% in 2019. Following recommendations being made, this will be re-audited in 2024/25.

None Declared

During Open Day at Mental Health Research Institute in Tomsk, assistance was provided to many citizens of Siberia.

to develop its algorithm.

An analysis of experience in holding Mental Health Day.

Stage 1 – Preparatory: assessment of the prevalence of mental disorders; identification of the social challenges in the population that influence the growth of various forms of mental disorders; features of the functioning of general somatic health care services and psychiatric institutions, and their interaction.

Stage 2 – Information and methodological: conducting psychoeducational activities. The main topics are understanding mental health, the main risks, the first symptoms, ways to seek help. The anonymity, the free provision of services, the date, the form and method of the project are emphasized.

Stage 3 – Formation of the volume of services. A registration is made via telephone and electronic communications for those wishing to receive this help, indicating a specific and convenient time. This form of preliminary registration turned out to be logistically successful, aesthetically humane even under the conditions of sanitary and epidemiological restrictions of the COVID-19 pandemic.

Stage 4 – Implementation of Mental Health Day: on Saturday, in the week 1 of October. Filling in the express questionnaires. Formation of the main flows by specialists: 1) with affective disorders, 2) schizophrenia, 3) psychosomatic disorders, 4) post-traumatic stress disorders, 5) with addictions to alcohol, psychoactive substances, 6) persons of gerontological age. Methods of assistance: advisory, therapeutic (inpatient, outpatient), psychological support, provision of social services.

Stage 5 – Assessing the effectiveness of logistics and the results of Open Day based on the results of a consultation, analysis of questionnaires, verification of mental disorders, assessment of the main risk factors, identification of vulnerable groups of the population for the development of mental disorders.

Stage 6 – Achieving the goal of the World Mental Health Day project.

An analysis of experience in holding Mental Health Day allowed us to develop its algorithm.

None Declared

Medical staff is one of the main participants in psychiatric care quality management system. At the same time, it is not enough to ensure high level of staff qualifications only. It is also necessary to determine staff satisfaction with their professional activities, levels of staff well-being and of professional burden. That’s why, using factor analysis in the process of identification of factors affecting these parameters of psychiatric staff is an important task.

To work out factor models determining the main components affecting psychiatric staff professional burden and satisfaction of staff with provided psychiatric care; to justify proposals for improving medical staff professional activities and quality of care.

Adapted questionnaire «Assessment of the burden of psychiatric staff working in psychiatric institution» (WHO, 1994); Questionnaire «Assessing the satisfaction with quality of care by medical staff of psychiatric institution» (Solokhina et al., 2014). Factor analysis (principal component analysis with quatrimax rotation and factor selection according to the Cattell criterion) was used in the IBM SPSS Statistics 27 software environment. The study involved 73 nurses (age 44,55±11,56) of Moscow psychiatric hospitals № 1 and № 4. The nurses were included in the analyses as the most representative staff category closely contacting with patients.

Using factor analysis, a model identifying the most significant components affecting of the professional burden of the nurses and reflecting 50.9% of the sample variance was worked out. The parameters include: “physical and emotional problems”, “interpersonal problems”, “intrapersonal problems”, “stigmatization”, “experiencing difficult situations related to patients” (16.86%, 11.67%, 9.52%, 6.61%, 6.34 of the sample variances correspondingly).

The factor model of nurse’s satisfaction with psychiatric institutions activities includes “organizational” (33.66%), “procedural” (7.44%), “logistical” (6.92%), “support” (5.14%), “alternative forms of assistance” (5.05%) factors, which in total make up 58.8% of the sample variance.

Factor models are a powerful tool which permits to analyze complex information and to identify factors affecting important indicators in a quality management system. Therefore, factor analysis should be carried out regularly in order to prevent different risks of care quality violation. It is also important to introduce psychological support to medical staff and to improve team methods of work.

None Declared

Tunisian women, seen as symbols of freedom, have achieved social equality despite various challenges. This study examines the role of sociodemographic factors and coping strategies in shaping psychological resilience among Tunisian women.

To investigate how sociodemographic factors and coping styles influence resilience in Tunisian women.

This cross-sectional study targeted Tunisian women aged 18 and above through an online survey between June and August 2024. Sociodemographic data were collected, coping styles were measured using the Brief COPE inventory, and resilience was assessed via the 25-item Connor-Davidson Resilience Scale (CD-RISC 25).

Data from 695 women (mean age = 36.72 ± 12.23) showed that 90.9% had university education and 34.1% were unemployed. Personal income was the main income source for 61.7%. The mean resilience score was 68.26 ± 14.09, with 26.3% exhibiting low resilience. Higher resilience was significantly associated with university education (p < 0.001) and higher economic status; 34.3% of those in lower brackets showed low resilience (p = 0.007). Personal income also predicted resilience (p < 0.001). Regarding coping, resilience positively correlated with problem-focused (r = 0.496, p < 0.001) and emotion-focused coping (r = 0.271, p < 0.001), but was negatively associated with avoidance coping (r = -0.093, p < 0.05).

This study reveals that resilience among Tunisian women is linked to education, economic status, and income, with effective coping strategies (problem- and emotion-focused) enhancing resilience. Findings underscore the importance of economic empowerment and effective coping skills in strengthening resilience among women.

None Declared

Resilience is the capacity to bounce back from adversity, and this concept has been extensively studied across various populations, especially those facing significant stress. In this context, Tunisian women have recently encountered multiple challenges related to balancing professional and family responsibilities, which require them to demonstrate strong resilience. Recent literature has highlighted a strong link between social support and resilience.

This study aims to explore the impact of social support on the psychological resilience of Tunisian women.

This cross-sectional study surveyed Tunisian women aged 18 and above using an online questionnaire between June and August 2024. Familial and professional characteristics were collected through a structured survey. Social support was measured using the Multidimensional Scale of Perceived Social Support (MSPSS), and psychological resilience was assessed with the 25-item Connor-Davidson Resilience Scale (CD-RISC 25).

Data from 695 Tunisian women (mean age = 36.72 ± 12.23 years) revealed diverse backgrounds: 24.7% were students, 35.3% worked in the public sector, 21.2% were self-employed, and 14.7% were unemployed. In terms of marital status, 42.9% were single, 49.2% married, and 5.6% divorced, with 8.5% living alone, 75.7% in nuclear families, 10.4% in extended families, and 5.5% in shared housing; additionally, 50.6% had children. The average resilience score was 68.26 ± 14.09, with 26.3% exhibiting low resilience. Social support scores were as follows: familial support (20.06 ± 6.38), friend support (18.17 ± 6.47), significant other support (21.2 ± 6.22), and overall social support (59.42 ± 15.26). Significant associations were found between resilience and marital status (p = 0.019), with married women showing lower rates of low resilience (21.3%) than single women (31.9%). Women with children also demonstrated higher resilience (p = 0.002), while employment status had a notable impact (p = 0.005), with low resilience rates highest among unemployed women (36.3%) and lowest among public sector workers (19.6%). Resilience positively correlated with social support across all sources: familial (p < 0.001, r = 0.269), friend (p < 0.001, r = 0.260), significant other (p < 0.001, r = 0.289), and overall social support (p < 0.001, r = 0.338).

Our findings underscore the crucial role of social support and family connections in enhancing the psychological resilience of Tunisian women. Therefore, targeted social interventions are needed to support women experiencing loneliness or lacking social networks, aiming to strengthen their resilience and overall well-being.

None Declared

Personality encompasses stable traits, behaviors, thoughts, and emotions that shape how individuals interact with their environment. It stands to reason that personality can influence how a person responds to life’s challenges, essentially defining their level of resilience. Tunisian women, who frequently face a range of daily struggles, represent a significant group for exploring the dynamics of resilience. Understanding how their personality traits impact their ability to adapt and thrive amidst adversity provides valuable insights, making this an important area of study.

To examine the relationship between personality traits and resilience among Tunisian women.

This cross-sectional study surveyed Tunisian women aged 18 and above using an online questionnaire between June and August 2024. Personality traits were assessed using the 10-item Big Five Inventory (BFI-10), while psychological resilience was measured using the 25-item Connor-Davidson Resilience Scale (CD-RISC 25).

Data were collected from 695 Tunisian women, with a mean age of 36.72 ± 12.23 years. Among participants, 24.7% were students, 56.5% were employed, 49.2% were married, and 50.6% had children. Regarding sexual orientation, 93.4% identified as heterosexual, 0.4% as homosexual, 3.3% as bisexual, and 2.9% as undefined. The average resilience score was 68.26 ± 14.09, with 26.3% of participants exhibiting low resilience. Mean scores for personality traits were as follows: agreeableness: 6.8 ± 1.86, extraversion: 6.1 ± 1.79, neuroticism: 6.33 ± 2.01, conscientiousness: 7.16 ± 1.94, and openness to experience: 8.03 ± 1.71. Resilience was positively associated with age (p < 10⁻³, r = 0.143), marital status (p = 0.022), sexual orientation (p = 0.001), and education level (p < 10⁻³), with 80% of those with only primary education showing low resilience compared to 24.2% of those with a university education. Personality traits showed significant correlations with resilience: agreeableness (p < 10⁻³, r = 0.165), extraversion (p < 10⁻³, r = 0.207), conscientiousness (p < 10⁻³, r = 0.367), and openness to experience (p < 10⁻³, r = 0.278) were positively correlated, while neuroticism was negatively correlated (p < 10⁻³, r = -0.482).

Personality traits are significant determinants of resilience in Tunisian women. Positive traits like agreeableness, openness, extraversion, and conscientiousness enhance resilience, while neuroticism has the opposite effect. Considering that personality is influenced by factors such as early childhood experiences and parenting styles, future interventions could focus on fostering these positive traits to strengthen resilience.

None Declared

Self-esteem, defined as an individual’s overall sense of self-worth and confidence, plays a crucial role in shaping how people interact with their environment. It has been strongly linked in the literature to both mental health and resilience. Tunisian women, known for their achievements despite numerous challenges, provide a compelling population for exploring the dynamics between self-esteem and resilience.

To assess the impact of self-esteem on resilience among Tunisian women.

This cross-sectional study surveyed Tunisian women aged 18 and above, between June and August 2024, using an online questionnaire. General health information was gathered through a structured survey. Self-esteem levels were evaluated using the Rosenberg Self-Esteem Scale, while resilience was measured with the 25-item Connor-Davidson Resilience Scale (CD-RISC 25).

Data were collected from 695 Tunisian women, with participants having a mean age of 36.72 ± 12.23 years. Of the respondents, 22.3% reported using psychoactive substances: 20.4% smoked, 9.4% consumed alcohol, and 2.5% used cannabis. Additionally, 22.2% had somatic conditions, 24.5% reported a personal psychiatric illness, 28.2% had a family psychiatric history, 39.3% had seen a psychiatrist at least once, and 15% were using psychotropic medications. The average resilience score was 68.26 ± 14.09, with 26.3% of participants displaying low resilience. The mean self-esteem score was 29.38 ± 5.64, with 55.8% of participants exhibiting low self-esteem. No significant correlation was found between resilience and substance use. However, resilience was significantly associated with personal psychiatric illness (p < 10⁻³), family psychiatric history (p < 10⁻³), psychotropic medication use (p < 10⁻³), and psychiatrist visits (p < 10⁻³). In contrast, there was no correlation between resilience and somatic conditions. A strong association was found between resilience and self-esteem: only 6.8% of participants with normal to high self-esteem exhibited low resilience, compared to 41.8% of those with low self-esteem showing low resilience.

This study demonstrates a significant relationship between self-esteem and resilience among Tunisian women, indicating that higher self-esteem is linked to greater resilience. These findings suggest that interventions aimed at enhancing self-esteem could improve resilience, particularly for women facing psychological difficulties. Future research could explore targeted strategies to boost self-esteem as a pathway to strengthen resilience and overall mental well-being in this population.

None Declared

Resilience, the ability to adapt and thrive amid adversity, is particularly prominent in Tunisian women, who are recognized for their strength and adaptability despite societal pressures. Their resilience appears closely linked to cultural heritage, indicating a significant connection between resilience and cultural values. This study explores how cultural values shape the psychological resilience of Tunisian women.

To examine the influence of cultural values on resilience among Tunisian women.

A cross-sectional survey was conducted Tunisian women aged 18 and above, from June to August 2024. Sociodemographic data were gathered, while cultural values were assessed using the Individual Cultural Values Scale (CVScale) and the Centrality of Religion Scale (CRS-5). Resilience was measured with the 25-item Connor-Davidson Resilience Scale (CD-RISC 25).

We collected 695 responses in our survey. Participants had a mean age of 36.72 ± 12.23 years, with 90.9% holding university degrees, 56.5% employed, 49.2% married, and 50.6% with children. The mean resilience score was 68.26 ± 14.09, with 26.3% showing low resilience. Average scores for cultural values were “power distance” (9.13 ± 3.46), “uncertainty avoidance” (20.84 ± 2.95), “masculinity” (9.55 ± 3.99), “collectivism” (21.64 ± 5.07), “long-term orientation” (25.89 ± 2.94), and “centrality of religion” (3.95 ± 0.77).

Resilience correlated positively with “uncertainty avoidance” (p < 10⁻³, r = 0.145), “collectivism” (p < 10⁻³, r = 0.208), “long-term orientation” (p < 10⁻³, r = 0.267), and “centrality of religion” (p < 10⁻³, r = 0.186). Conversely, resilience was negatively correlated with “power distance” (p < 10⁻³, r = -0.104), and no significant correlation was observed with masculinity.

The findings reveal that cultural values significantly shape resilience in Tunisian women. Higher resilience was associated with uncertainty avoidance, collectivism, long-term orientation, and religious centrality, while power distance negatively impacted resilience. This emphasizes the need to incorporate cultural dimensions when designing initiatives to support resilience among women in Tunisia.

None Declared

Mental health is indispensable to quality of life and social well-being, influencing economic stability, human rights and sustainable development. Despite growing awareness, the public often conflates mental health with mental illness, which means that stigma remains prevalent. Nursing professionals, who interact closely with patients, are uniquely positioned to provide psychological support. Therefore, understanding public perceptions of mental health and the role of nurses is crucial for developing effective care strategies and improving health outcomes.

With our research we aimed to examine public attitudes towards mental health and assess how the general population perceives nurses’ roles in psychological support. The study also sought to identify demographic influences on these attitudes and highlight potential improvements in nursing education.

The study utilized a cross-sectional survey design to collect quantitative data on public perceptions of mental health and the roles of nursing professionals. An anonymous online questionnaire was distributed, reaching a diverse sample of 270 participants from various demographic backgrounds. The survey included items assessing demographic information (gender, age, educational level, and residential location), as well as specific questions on mental health perceptions, experiences with psychological challenges, and also attitudes toward nursing empathy and support. Descriptive and inferential statistics - including Mann-Whitney U tests and chi-square tests - were used to analyze responses. Significance was set at p<0.05.

Of the respondents, 73% were female, 63.3% resided in urban areas, and 54% had completed secondary education. The majority (65%) were over 35 years old. Regarding self-assessed mental health, 48.9% rated it as “good,” and 48.5% reported occasional mental health challenges. Significant gender differences were observed in perceptions of empathy among nursing professionals, with female respondents reporting more positive views compared to male respondents (U=83.37, p=0.01). The study also revealed that 53% of participants believed nurses “sometimes” showed empathy toward patients’ mental health needs. A significant association was found between educational level and the perception that nurses need additional training to support mental health challenges (U=147.00, p=0.01).

This study highlights the vital role of nurses in mental health support and suggests that additional training on psychological support could enhance care quality, especially in the eyes of well-educated patients. While many respondents see nursing professionals as empathetic, there is room to further improve nurses’ mental health literacy and communication skills to reduce stigma and improve patient outcomes.

None Declared

Public sector mental health services in Australia typically do not provide Adult ADHD assessment or treatment, creating a significant reliance on private sector care. Consequently, the demand for private ADHD services has surged, resulting in extended wait times for assessment and treatment.

This study aimed primarily to evaluate the wait times for Adult ADHD assessments for patients referred by GPs to a private clinic. A secondary aim was to analyze the relationship between sociodemographic and clinical variables, including illness characteristics and timing of diagnosis.

Data were collected through retrospective file reviews of consecutive patients referred to the authors’ private clinics for Adult ADHD assessment between January 2023 and October 2024. Patients included in the study met the criteria of an eventual clinical diagnosis of Adult ADHD. Data collected included sociodemographic details, ADHD subtype, psychiatric comorbidities, and wait times for initial psychiatric consultations. Total sample was 68.

Wait times ranged from 10 days to 305 days, with a mean wait time of approximately 4 months (112 days). Almost 30 % of the patients referred had wait time of more than 4 months. The sample comprised nearly equal numbers of male and female patients (33 vs. 35), with ages ranging from 17 to 56 years (mean age: 28.35 years). The majority (68%) were diagnosed with Adult ADHD - Combined Presentation, while 32% had the Predominantly Inattentive Presentation. Nearly all patients received their ADHD diagnosis in adulthood, with less than 5% having a childhood ADHD diagnosis.

There are significant delays in acessing appropriate care for people with Adult ADHD in Australia. Improvement in mental health policy and service delivery with regard to ADHD services is essential if this barrier to access appropriate care has to be overcome.

None Declared

An opportunity arose to compare the outcomes of patients of one psychiatrist in two different clinical settings – a community mental health center CMHC) in which the psychiatrist saw people on average for 15 minutes every 6 weeks (range 4 to 12 weeks) and a community clinic setting (CCS) in which the psychiatrist controlled the time allotted per patients and the frequency of visits. We assumed that the psychiatrist’s beliefs, attitudes, and style of practice did not change between the two settings except as influenced by time constraints. Psychotherapy was provided by social workers in both settings, with an average of 45 minutes every 3 weeks in the CMHC and 40 minutes every week in the CCS. Three optional groups existed in the CCS compared to one in the CMHC. New patients received a 30 minute evaluation in the CMHC and a 60 minute evaluation in the CCS.

To compare the dominant style of practice in the United States with an older style of practice in which psychiatrists spent more time with clients.

The psychiatrist administered the MYMOP2 (My Medical Outcome Profile, version 2) and the Brief Psychiatric Rating Scale (BPRS) to all patients at baseline in both settings. The MYMOP2 was repeated monthly (or at the next visit in the CMHC) and the BPRS at intervals of every three months. The study lasted two years and the average length of follow-up was 31 weeks in the CMHC and 49 weeks in the CCS, which was statistically significant.

No statistically significant differences appeared in demographic variables. Percent funded by Medicaid, Medicare, other insurance, gender, and age distribution were the same in both settings. Clinical improvement was not observed among patients on average on both measures in the CMHC. Clinical improvement was observed on both measures in the CCS (MYMOP-2; p < 0.01 on worst symptom; BPRS, p < 0.01). The CMHC showed higher profits than the CCS. Time spent per patient was statistically significantly greater in the CCS (p < 0.01).

Increased opportunity for contact and relationship with the psychiatrist may play a greater role than assumed by the biomedical model. A public health question arises in relation to models for provision of care that are more profitable but less health effective.

None Declared

Understanding resilience becomes important given that adversity is an unavoidable fact of human life. Over 70% of respondents in a sample of 68,894 people reported at least one traumatic event in their lifetime. The neurotoxic effects of these experiences range from compromised neurocompetence, psychopathology including PTSD and depression, to adverse physical effects.

To determine if we could reliably agree on ratings of resilience on a five point scale to aid future studies of the role of resilience in recovery and relapse.

To assess resilience we developed a five point scale with 1 being the least and 5 behind the most resilient pattern. We found a water metaphor useful to conceptualize these five levels of resilience. Resilience in an ever-changing world can be likened to navigating in a body of water. Adversity tosses us into the water. Here are our levels:

We used kappa statistics to assess our level of agreement among ourselves (three raters) after studying and discussing prototypical stories for each rating level.

Practicing with training videos, we found we could achieve 84% agreement on the five ratings with 3 raters.

Percent overall agreement = 84.00% Free-marginal kappa = 0.80

95% CI for free-marginal kappa [0.66, 0.94]; Fixed-marginal kappa = 0.78; 95% CI for fixed-marginal kappa [0.62, 0.93]

When we added AI, we got Percent overall agreement = 71.33% Free-marginal kappa = 0.64; 95% CI for free-marginal kappa [0.50, 0.79]

Fixed-marginal kappa = 0.61; 95% CI for fixed-marginal kappa [0.51, 0.71]

The individuals who fit into the pattern of low resilience tended to have a high amount of childhood adverse experiences as shown through the ACE survey. The accumulation of these events in combination with external variables shape resilience. Factors including intelligence/education level, drug/alcohol use, positive role models, exposures to nature/art/spirituality, and community/family norms steer a person down a set of patterned thinking and actions which ultimately depict their overall life story.

None Declared