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Self-harm behaviors (performed with either lethal and non-lethal intentions) are common, especially among individuals suffering from mood disorders, and the reasons individuals self-harm vary both by person and by the type of behavior. Understanding these variations may help clinicians determine levels of risk more accurately. To understand whether culture and gender are associated with the likelihood of engaging in specific self-harm behaviors and whether the intention (lethal, ambivalent, non-lethal) of these behaviors vary with culture and gender. 2826 individuals took part in an international multilingual online depression/suicidality screening study and reported at least one instance of self-harm in the past year. Participants were grouped into six broad cultural categories (Latin America, South Asia, Russian, Western English, Chinese, Arab). 3-way (culture x gender x intent) interactions were observed for several self-harm behaviors (overdosing, self-burning, asphyxiating, poisoning, and jumping from heights), suggesting that individuals engage in each of these behaviors with different intentions depending on gender and culture. Cultures and genders likewise differed in the likelihood of engaging in several self-harm behaviors. Clinicians should consider culture and gender when assessing for suicide risk, as similar self-harming behaviors may reflect different intentions depending on an individual's culture and gender. [ABSTRACT FROM AUTHOR]

Many women develop postpartum mental health symptoms, ranging from the maternity blues to clinically diagnosed postpartum depression (PPD). Substantial literature supports an association between depression and type 2 diabetes, but there is limited literature regarding to what extent this relationship pertains to gestational diabetes (GDM) and postpartum depression. Review of the literature regarding GDM and PPD with a particular focus on describing the prevalence of PPD among women who may be at increased risk for GDM, including low-income and ethnic minority groups, was performed. Literature searches were conducted across four databases for studies reporting postpartum mental health outcomes (including postpartum depression, behavioral symptoms, mental disorders, mood, anxiety, quality of life) following a diagnosis of GDM. Studies including subgroups of women with GDM were included if postpartum mental health outcomes were reported. Of the 245 abstracts identified, ten studies were included in the final review. Findings suggest that PPD was high among low-income, ethnic minority women. Additional research is required to understand the complex relationship between GDM and PPD among low-income women, with the ultimate goal of implementing tailored interventions to address their medical and psychiatric needs. [ABSTRACT FROM AUTHOR]

Aim of the study: The COVID-19 pandemic has adversely affected the mental health of most populations and communities. This study sought to investigate the impact of COVID-19 on the likelihood of engaging in selfharm behaviors in a high-risk group. Material and Methods: Participants (N = 659) were recruited to a multilingual depression/suicide screener. Counts of self-harm behaviors with intent to die, with ambivalent intent, and with no intent to die were examined during two time periods - mid-COVID-19 (March 15 to July 15 of 2021) and pre-COVID-19 (March 15 to July 15 periods of 2018-9). Results: Regarding self-harm behaviors with the intent to die, pre-COVID-19, men were less likely to selfharm than women, whereas mid-COVID-19, the rates of these behaviors were similar for both genders and higher than pre-COVID-19. Regarding self-harm behaviors with ambivalent intent, a 3-way (cohort*gender*age group) interaction was noted, with younger men reporting fewer behaviors mid-COVID-19 compared to pre-COVID-19 and other men - more such behaviors; for women, these behaviors increased somewhat regardless of age group. Discussion: The COVID-19 pandemic may have altered the pattern and likelihood of engaging in self-harm behaviors. The effect of COVID-19 on these behaviors may be different for men and women, depending on their age and the type of behavior. Conclusions: Providers should be mindful of the potential of self-harming in the pandemic era, especially among those with existing risk factors. [ABSTRACT FROM AUTHOR]

Background: When screening for suicidality, clinicians usually ask questions in ascending order of severity. Clinicians often discontinue questioning after negative responses to the first question or questions, presuming that these individuals are unlikely to endorse any further suicidality. In this study, the accuracy of this presumption is evaluated in a large international sample.Methods: Participants were 21,385 individuals reporting a suicide attempt in the past two weeks. Participants were recruited, primarily via Google Ads, to a quintilingual (English, Spanish, Chinese, Arabic, and Russian) multinational depression and suicide screening study.Results: Examining three initial screening questions (i.e., thoughts of death, wanting to die, and thinking about committing suicide), 14.8 % (n = 3179) of participants denied one or more question, 3.96 % (n = 847) denied two, and 1.95 % (n = 416) denied all three questions. The proportions of individuals with discrepant responses differed between linguistic-geographical groups, with Chinese and South Asian groups being more likely to be discrepant across all questions (all ps < .001).Limitations: Suicidality was assessed using an internet-based self-report measure, and linguistic-geographical groups explored in this study are very broad, which may limit generalizability.Conclusions: Results suggest that prematurely discontinuing suicide screening may fail to capture some individuals who made a recent attempt, and that in some groups, this discrepancy may be more pronounced. Clinicians should assess all individuals as thoroughly as possible regardless of initial responses, inquire about other significant risk factors, and be culturally sensitive. [ABSTRACT FROM AUTHOR]

• 30,396 minors, or 19.2% of all visitors, tried to enter depression screening site. • Proportion of minors differed markedly between 190 countries represented. • Minors as young as 10 are using internet for mental health information. Depression rates are increasing among minors. Internet is central to the lives of many minors, and many of them look online for depression information. This report describes minors who attempted to screen themselves for depression in a worldwide online study. Google Ads were used to recruit individuals to a multilingual depression screening study that was meant to target and recruit adults. Of 158,170 individuals accessing the site, 30,396 (19.22%) were minors from 190 countries. Proportions of minors varied considerably between different cultures. Given youth's interest in depression information, online services to ethically and effectively address youth depression are needed. [ABSTRACT FROM AUTHOR]