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Victoria Smith, a solicitor who had three children, died by suicide in April 2021 after a dramatic deterioration in her mental health two years earlier, at age 49. [ABSTRACT FROM AUTHOR]

In times of increasing crisis, resilience is an indispensable skill that is often mentioned in connection with empathy. Finally, empathy acts as a social glue, but it also enables people to be empathetic and kind to themselves. A prerequisite for overcoming everyday challenges. But if you don't consciously set limits, you can fall into empathic stress in the long term, which can even lead to depression. To prevent empathic stress, it pays to cultivate your own compassion. This enables a deep relationship with oneself and other people without neglecting one's own needs. Meditation and mindfulness can help. [ABSTRACT FROM AUTHOR]

Sleep disorders are rated as one of the most bothersome symptoms in patients after cancer. The pathogenesis and individual causes of cancer-related sleep disorders have been unclear which makes specific diagnostics challenging. Changes in sleep quality are seldom part of an anamnesis in oncological settings. Early onset of treatment to avoid chronic sleep disorders is thus missed. Insomnia is often part of a symptom cluster that includes comorbidities such as depression, adjustment disorders, anxiety, cancer related fatigue and pain-syndromes. Due to many short and longterm symptoms in patients after cancer, these comorbidities sometimes are overseen. General treatment recommendations are not reasonable, because of individual combinations of sleep disruptive factors and different causes of sleep disorders. Early onsetted screenings in combination with automated assessments to record sleep disorders could be a promising approach to im - prove care and individual treatment of patients with/after cancer. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To recognise the importance of optimising glycaemic control in people with diabetes mellitus • To refresh your knowledge of the complications associated with diabetes • To be aware of the areas to consider when caring for people with a long duration of diabetes Elevated blood glucose levels (hyperglycaemia) and insulin resistance over time are determinants of the onset and progression of a range of complications associated with diabetes mellitus, including cardiovascular disease, neuropathy (nerve damage), diabetic kidney disease and eye conditions. Maintaining optimal glycaemic control may reduce the risk of developing such complications and has been shown to reduce the severity of some renal and eye conditions. However, achieving optimal glycaemic control can be challenging because of various physical and psychological factors that can cause fluctuations in blood glucose levels. This article provides an overview of some of the complications associated with type 1 and type 2 diabetes. [ABSTRACT FROM AUTHOR]

Not only are more people than ever living with type 2 diabetes, but the complexity of the condition is increasing and highly variable. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To increase your understanding of how the coronavirus disease 2019 (COVID-19) pandemic and social media may affect young people's mental health • To enhance your ability to talk with young people about mental health issues • To contribute towards revalidation as part of your 35 hours of CPD (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) There are growing concerns about the mental health and well-being of young people, including how these have been negatively affected by factors such as the coronavirus disease 2019 (COVID-19) pandemic and social media. Community nurses are in an ideal position to promote positive mental health and ensure timely referral to appropriate services to enable young people to access the support they need. This article explores how the pandemic and social media have affected young people's mental health, particularly in relation to anxiety. It also explains how nurses can discuss these issues with young people and their parents or guardians. [ABSTRACT FROM AUTHOR]

Stress is a common issue for nurses, with the NHS and social care creaking under severe staff shortages and workload pressures. [ABSTRACT FROM AUTHOR]

The article focuses on understanding dementia, discussing its various forms, causes, diagnosis, and treatment methods. Topics include differentiating between primary and secondary dementia, exploring causes such as neurodegeneration and vascular disorders, outlining diagnostic criteria based on symptoms, and discussing treatment approaches tailored to the specific form of dementia.

The article "Clinical Miscellany 2022" discusses the importance of learning in medicine and questions the theory that depression is caused by a serotonin imbalance. According to a study, there is no compelling evidence that depression is associated with low levels of serotonin. Furthermore, another study shows that the combination of two antidepressants is more effective than using only one in cases of acute depression. These findings challenge established beliefs in psychiatry and suggest that antidepressants are not the magical solution for biochemical imbalances. [Extracted from the article]

The article discusses the issue of workforce bullying in the United Kingdom (UK) National Health Service (NHS) and how regulators and managers can address the toxic culture that affects both nurses and their patients. Other topics include the stress factors affecting frontline nurses during the COVID-19 pandemic like long work hours and insufficient personal protective equipment (PPE), and the NHS data showing increasing bullying and harassment by colleagues.

Why you should read this article: • To understand the psychological effects of sharps injuries on healthcare workers, including nurses • To be aware of the latest evidence of the various psychological effects of sharps injuries on healthcare workers and their families • To recognise the need for follow-up care and support for healthcare workers following a sharps injury Much of the research into sharps injuries sustained by healthcare workers focuses on prevalence and incidence and to a lesser extent the financial implications of such injuries. An under-researched area is the psychological effects of such injuries. This article reports the findings of a narrative literature review that aimed to synthesise the evidence on this subject. Electronic databases and the grey literature were searched with no date limits set and 27 articles were included in the review. Findings suggested that healthcare workers may experience a range of psychological issues following a sharps injury, including post-traumatic stress disorder, anxiety and depression. There was also evidence to suggest that the necessary psychological follow-up care is often inadequate, so improvements are required in this area. Further research is necessary to enhance understanding of the psychological effects of sharps injuries on healthcare workers and to ensure they receive appropriate support. [ABSTRACT FROM AUTHOR]

Alana Saab's debut novel, "Please Stop Trying to Leave Me," follows the story of Norma, a woman grappling with her literary ambitions and deteriorating mental health. Norma believes she receives spiritual signs from God through Instagram ads, leading her to question her relationship with her girlfriend. Through Norma's therapy sessions and her desire to finish her story collection, Saab explores the challenges of living and writing with mental illness. While the novel has some rough patches, it offers a unique and affecting exploration of these themes. [Extracted from the article]

Why you should read this article: • To recognise the psychological effects of chronic skin conditions that patients may experience • To refresh your knowledge of the core principles of the assessment and management of mental health issues • To identify how you could enhance the care and support of patients with chronic skin conditions in your practice Chronic skin conditions, such as atopic eczema and psoriasis, can have significant psychological effects on patients. For example, these conditions can affect an individual's functioning, and may lead to mental health issues such as depression or anxiety disorders. This article identifies the links between chronic skin conditions and mental health issues, and discusses the nurse's role in assessing, managing and supporting patients with these comorbidities. It also emphasises the importance of using validated tools and a holistic approach to care, and discusses how to address challenges that patients may experience. [ABSTRACT FROM AUTHOR]

Imposter syndrome, sometimes known as imposter phenomenon, is a persistent feeling of being unworthy of the status or success you have achieved. [ABSTRACT FROM AUTHOR]

A recent study conducted in China found that patients with cancer who experience serious adverse events (SAEs) are at a high risk of developing anxiety and depression. The study surveyed 112 patients enrolled in clinical trials and found that 38.4% of them had moderate to severe depression, while 13.4% had moderate to severe anxiety. The study also revealed that patients with hematological cancer and gastric cancer had the highest rates of depression, and patients with gastric cancer and cervical cancer had high rates of anxiety. The authors suggest that mental health treatment should be considered for patients with cancer experiencing SAEs during clinical trials. However, it is important to note that the study has limitations, such as its cross-sectional nature and small sample size. [Extracted from the article]

Why you should read this article: • To understand the physiological properties of ketamine • To learn about the therapeutic uses of ketamine • To familiarise yourself with the nursing implications of ketamine use Ketamine is a synthetic drug with unique properties which started to be used therapeutically in humans in the 1970s and is now widely used in all fields of nursing. Ketamine acts on the central nervous system, primarily through inhibiting N-methyl-D-aspartate receptors. However, the precise understanding of its mechanisms of action remains elusive in many respects. Ketamine is frequently used as an anaesthetic in medical and surgical procedures and as an analgesic in children and adults. It is increasingly used in mental health settings to treat depression. It has potential to be used more often in areas such as palliative care and mental health care. This article reviews the physiological and pharmacological properties of ketamine, explores its main therapeutic uses, and considers the associated implications for nursing practice. [ABSTRACT FROM AUTHOR]

The article provides information for clinicians such as non-mental health nurses on how to identify people with deteriorating mental health using a mental state assessment. Topics discussed include main components of a mental state assessment, advice to prepare for a mental state assessment, and elements of the mental state examination which includes appearance, behaviour and speech.

The article discusses how families feel separated due to hearing loss during the COVID-19 pandemic and tips on how to address it like the use of hearing aids and holistic changes in family communication behavior. Also cited are the association of untreated hearing loss with loneliness, social isolation, depression, and deteriorating cognition, as well as the link of hearing loss to medical conditions like heart disease, diabetes, and dementia.

While many people are experiencing heightened anxiety as they cope with the impact of the COVID-19 pandemic, the challenges of life in lockdown may be particularly complex for people with existing mental health conditions. [ABSTRACT FROM AUTHOR]

AUTH Why you should read this article: • To enhance your knowledge of the features of dementia, delirium and depression • To understand how to differentiate between dementia, delirium and depression, and the validated clinical assessment tools available to assist in this • To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) Older people can find hospital stays challenging and distressing. When their presenting symptoms make it challenging for healthcare professionals to differentiate between dementia, delirium and depression, their experience may be increasingly distressing, and can result in delays in diagnosis and treatment, as well as an increased risk of morbidity. This article considers each of the conditions of dementia, delirium and depression, their presenting features and how nurses can differentiate between them to enable comprehensive assessment, diagnosis and treatment in older people. [ABSTRACT FROM AUTHOR]

AUTH Why you should read this article: • To recognise the challenges of maintaining physical activity for people with a stoma • To understand how you can assess the physical activity levels of a person with a stoma • To familiarise yourself with the effects on quality of life of living with a stoma Physical activity is important for physical and mental health; however, people with a stoma commonly experience a reduction in physical activity following stoma formation. Further research into physical activity levels in people living with a stoma is necessary to determine which factors are associated with engagement in regular physical activity, and with inactivity. Aim: The primary aim of this study was to assess physical activity levels in adults living with a stoma in the community. The secondary aim was to investigate the relationship between activity levels, self-efficacy for exercise, perceived benefits and barriers to exercise, depression, body image and stoma-related quality of life. Method: A cross-sectional questionnaire survey was sent to healthy individuals living with a urostomy, ileostomy or colostomy, recruited from six stoma support groups in the East Midlands. The primary measure was physical activity levels; secondary measures were self-efficacy for exercise, perceived barriers and benefits to physical activity, depression, body image and stoma-related quality of life. Descriptive analysis of the data was undertaken using a computer analysis package. Results: The questionnaire was sent to 116 adults and completed by 94 adults, giving a response rate of 81%. Of the participants who answered the questions on levels of physical activity, 83% (n=71/86) did not achieve government-recommended levels of physical activity. Less active participants perceived greater barriers to physical activity and had lower self-efficacy for exercise than participants who were more active. Reported physical activity was not associated with body image, depression or stoma-related quality of life. Conclusion: Most participants were physically inactive. Interventions that reduce barriers to exercise and support self-efficacy in people with a stoma can assist them to increase their physical activity levels, as well as reducing the risk of chronic disease associated with sedentary lifestyles. [ABSTRACT FROM AUTHOR]

An interview with the author, Lauren Nossett, is presented, where she discusses her attraction to writing mysteries, citing the structured nature of the genre and its ability to explore social themes through crime. She also shares the origin of her detective character, Marlitt, and the inspiration behind the sequel, which was influenced by a personal experience on a plane and her observations as a professor concerning depression and alienation among students.

A variety of comorbid mood disorders often accompany this condition, including OCD and PTSD. Patients usually respond well to reassurance, emotional support, and exposure to their new way of life.9,10 POSTPARTUM DEPRESSION If postpartum depression occurs, it usually develops 1 to 3 months after delivery but can occur anytime during the first year after delivery. [Extracted from the article]

Almost one in three nurses took time off work last year because of anxiety, stress and depression, a Nursing Standard survey suggests. [ABSTRACT FROM AUTHOR]

The article offers tips to audiologists on providing treatment for anxiety and balance disorders. Audiologists are advised to understand the emotional aspects of balance disorders. Anxiety and/or depression can contribute to dizziness and falls. Treatment options for anxiety-related balance problems include vestibular and balance rehabilitation therapy.

Problem: Chronic conditions and disorders (e.g., diabetes, cardiovascular diseases, arthritis, and depression) are leading causes of morbidity and mortality in the United States. Healthy behaviors (e.g., physical activity, avoiding cigarette use, and refraining from binge drinking) and preventive practices (e.g., visiting a doctor for a routine check-up, tracking blood pressure, and monitoring blood cholesterol) might help prevent or successfully manage these chronic conditions. Monitoring chronic diseases, health-risk behaviors, and access to and use of health care are fundamental to the development of effective public health programs and policies at the state and local levels. Reporting Period: January-December 2015. Description of the System: The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing, state-based, random-digit-dialed landline- and cellular-telephone survey of noninstitutionalized adults aged ≥18 years residing in the United States. BRFSS collects data on health-risk behaviors, chronic diseases and conditions, access to and use of health care, and use of preventive health services related to the leading causes of death and disability. This report presents results for all 50 states, the District of Columbia, the Commonwealth of Puerto Rico (Puerto Rico), and Guam and for 130 metropolitan and micropolitan statistical areas (MMSAs) (N = 441,456 respondents) for 2015. Results: The age-adjusted prevalence estimates of health-risk behaviors, self-reported chronic health conditions, access to and use of health care, and use of preventive health services varied substantially by state, territory, and MMSA in 2015. Results are summarized for selected BRFSS measures. Each set of proportions refers to the median (range) of age-adjusted prevalence estimates for healthrisk behaviors, self-reported chronic diseases or conditions, or use of preventive health care services by geographic jurisdiction, as reported by survey respondents. Adults with good or better health: 84.6% (65.9%-88.8%) for states and territories and 85.2% (66.9%-91.3%) for MMSAs. Adults with ≥14 days of poor physical health in the past 30 days: 10.9% (8.2%-17.2%) for states and territories and 10.9% (6.6%-19.1%) for MMSAs. Adults with ≥14 days of poor mental health in the past 30 days: 11.3% (7.3%-15.8%) for states and territories and 11.4% (5.6%-20.5%) for MMSAs. Adults aged 18-64 years with health care coverage: 86.8% (72.0%-Adults who received a routine physical checkup during the preceding 12 months: 69.0% (58.1%-79.8%) for states and territories and 69.4% (57.1%-81.1%) for MMSAs. Adults who ever had their blood cholesterol checked: 79.1% (73.3%-86.7%) for states and territories and 79.5% (65.1%-87.3%) for MMSAs. Current cigarette smoking among adults: 17.7% (9.0%-27.2%) for states and territories and 17.3% (4.5%-29.5%) for MMSAs. Binge drinking among adults during the preceding 30 days: 17.2% (11.2%-26.0%) for states and territories and 17.4% (5.5%-24.5%) for MMSAs. Adults who reported no leisure-time physical activity during the preceding month: 25.5% (17.6%-47.1%) for states and territories and 24.5% (16.1%-47.3%) for MMSAs. Adults who reported consuming fruit less than once per day during the preceding month: 40.5% (33.3%-55.5%) for states and territories and 40.3% (30.1%-57.3%) for MMSAs. Adults who reported consuming vegetables less than once per day during the preceding month: 22.4% (16.6%-31.3%) for states and territories and 22.3% (13.6%-32.0%) for MMSAs. Adults who have obesity: 29.5% (19.9%-36.0%) for states and territories and 28.5% (17.8%-41.6%) for MMSAs. Adults aged ≥45 years with diagnosed diabetes: 15.9% (11.2%-26.8%) for states and territories and 15.7% (10.5%-27.6%) for MMSAs. Adults aged ≥18 years with a form of arthritis: 22.7% (17.2%-33.6%) for states and territories and 23.2% (12.3%-33.9%) for MMSAs. Adults having had a depressive disorder: 19.0% (9.6%-27.0%) for states and territories and 19.2% (9.9%-27.2%) for MMSAs. Adults with high blood pressure: 29.1% (24.2%-39.9%) for states and territories and 29.0% (19.7%-41.0%) for MMSAs. Adults with high blood cholesterol: 31.8% (27.1%-37.3%) for states and territories and 31.4% (23.2%-42.0%) for MMSAs. Adults aged ≥45 years who have had coronary heart disease: 10.3% (7.2%-16.8%) for states and territories and 10.1% (4.7%-17.8%) for MMSAs. Adults aged ≥45 years who have had a stroke: 4.9% (2.5%--7.5%) for states and territories and 4.7% (2.1%-8.4%) for MMSAs. Interpretation: The prevalence of health care access and use, health-risk behaviors, and chronic health conditions varied by state, territory, and MMSA. The data in this report underline the importance of continuing to monitor chronic diseases, health-risk behaviors, and access to and use of health care in order to assist in the planning and evaluation of public health programs and policies at the state, territory, and MMSA level. Public Health Action: State and local health departments and agencies and others interested in health and health care can continue to use BRFSS data to identify groups with or at high risk for chronic conditions, unhealthy behaviors, and limited health care access and use. BRFSS data also can be used to help design, implement, monitor, and evaluate health-related programs and policies. [ABSTRACT FROM AUTHOR]

Problem/Condition: Preconception health is a broad term that encompasses the overall health of nonpregnant women during their reproductive years (defined here as aged 18-44 years). Improvement of both birth outcomes and the woman's health occurs when preconception health is optimized. Improving preconception health before and between pregnancies is critical for reducing maternal and infant mortality and pregnancy-related complications. The National Preconception Health and Health Care Initiative's Surveillance and Research work group suggests ten prioritized indicators that states can use to monitor programs or activities for improving the preconception health status of women of reproductive age. This report includes overall and stratified estimates for nine of these preconception health indicators. Reporting Period: 2013-2015. Description of Systems: Survey data from two surveillance systems are included in this report. The Behavioral Risk Factor Surveillance System (BRFSS) is an ongoing state-based, landline and cellular telephone survey of noninstitutionalized adults in the United States aged ≥18 years that is conducted by state and territorial health departments. BRFSS is the main source of selfreported data for states on health risk behaviors, chronic health conditions, and preventive health services primarily related to chronic disease in the United States. The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing U.S. state- and population-based surveillance system administered collaboratively by CDC and state health departments. PRAMS is designed to monitor selected maternal behaviors, conditions, and experiences that occur before, during, and shortly after pregnancy that are self-reported by women who recently delivered a live-born infant. This report summarizes BRFSS and PRAMS data on nine of 10 prioritized preconception health indicators (i.e., depression, diabetes, hypertension, current cigarette smoking, normal weight, recommended physical activity, recent unwanted pregnancy, prepregnancy multivitamin use, and postpartum use of a most or moderately effective contraceptive method) for which the most recent data are available. BRFSS data from all 50 states and the District of Columbia were used for six preconception health indicators: depression, diabetes (excluded if occurring only during pregnancy or if limited to borderline/prediabetes conditions), hypertension (excluded if occurring only during pregnancy or if limited to borderline/prehypertension conditions), current cigarette smoking, normal weight, and recommended physical activity. PRAMS data from 30 states, the District of Columbia, and New York City were used for three preconception health indicators: recent unwanted pregnancy, prepregnancy multivitamin use, and postpartum use of a most or moderately effective contraceptive method by women or their husbands or partners (i.e., male or female sterilization, hormonal implant, intrauterine device, injectable contraceptive, oral contraceptive, hormonal patch, or vaginal ring). Heavy alcohol use during the 3 months before pregnancy also was included in the prioritized set of 10 indicators, but PRAMS data for each reporting area are not available until 2016 for that indicator. Therefore, estimates for heavy alcohol use are not included in this report. All BRFSS preconception health estimates are based on 2014-2015 data except two (hypertension and recommended physical activity are based on 2013 and 2015 data). All PRAMS preconception health estimates rely on 2013-2014 data. Prevalence estimates of indicators are reported for women aged 18-44 years overall, by age group, race-ethnicity, health insurance status, and reporting area. Chi-square tests were conducted to assess differences in indicators by age group, race/ethnicity, and insurance status. Results: During 2013-2015, prevalence estimates of indicators representing risk factors were generally highest and prevalence estimates of health-promoting indicators were generally lowest among older women (35-44 years), non-Hispanic black women, uninsured women, and those residing in southern states. For example, prevalence of ever having been told by a health care provider that they had a depressive disorder was highest among women aged 35-44 years (23.1%) and lowest among women aged 18-24 years (19.2%). Prevalence of postpartum use of a most or moderately effective method of contraception was lowest among women aged 35-44 years (50.6%) and highest among younger women aged 18-24 years (64.9%). Self-reported prepregnancy multivitamin use and getting recommended levels of physical activity were lowest among non-Hispanic black women (21.6% and 42.8%, respectively) and highest among non-Hispanic white women (37.8% and 53.8%, respectively). Recent unwanted pregnancy was lowest among non-Hispanic white women and highest among non-Hispanic black women (5.0% and 11.6%, respectively). All but three indicators (diabetes, hypertension, and use of a most or moderately effective contraceptive method) varied by insurance status; for instance, prevalence of current cigarette smoking was higher among uninsured women (21.0%) compared with insured women (16.1%), and prevalence of normal weight was lower among women who were uninsured (38.6%), compared with women who were insured (46.1%). By reporting area, the range of women reporting ever having been told by a health care provider that they had diabetes was 5.0% (Alabama) to 1.9% (Utah), and women reporting ever having been told by a health care provider that they had hypertension ranged from 19.2% (Mississippi) to 7.0% (Minnesota). Interpretation: Preconception health risk factors and health-promoting indicators varied by age group, race/ethnicity, insurance status, and reporting area. These disparities highlight subpopulations that might benefit most from interventions that improve preconconception health. Public Health Action: Eliminating disparities in preconception health can potentially reduce disparities in two of the leading causes of death in early and middle adulthood (i.e., heart disease and diabetes). Public health officials can use this information to provide a baseline against which to evaluate state efforts to improve preconception health. [ABSTRACT FROM AUTHOR]

The article reports on the role of peer support to prevent firefighter suicide. It mentions that psychological autopsy studies of suicide decedents regularly return rates of mental health disorders and states that anxiety, depression, substance abuse, and post-traumatic stress disorder (PTSD) increase suicide. It also mentions the public education efforts by organizations such as Florida Firefighters Safety and Health Collaborative.

The FDA has also granted the drug priority review, giving it a Prescription Drug User Fee Act action date of August 5, 2023. Biogen and Sage Therapeutics The FDA has accepted a new drug application for Biogen and Sage Therapeutics' SAGE-217/BIIB125 (zuranolone) for the management of major depressive disorder and postpartum depression in adults. Using these receptors, the drug can rebalance dysfunctional neuronal networks, which regulate arousal behavior, cognition, mood, and other brain functions. [Extracted from the article]

The article highlights a report which shows that the serotonin theory (ST) of depression should no longer be promoted as there is a distinct lack of credible supportive evidence and are a class of antidepressant drugs that include fluoxetine, citalopram and sertraline.

Distress is commonly experienced by those caring for someone with dementia, and can occur whether the carer is living with a person with dementia, or supporting a person with dementia who lives alone to maintain their independence. It is essential for health and social care professionals to support family carers to balance their needs with those of the person they care for. However, this might be challenging because many influencing factors can affect these needs, and identifying the needs of the family carer and balancing them with the needs of the person with dementia is often complex. This article uses a case study to explore the role of one Admiral Nurse (KG) in supporting the main family carer of a person with dementia, and the model of reflection used by the Admiral Nurse to undertake critical thinking and analysis in relation to their role. [ABSTRACT FROM AUTHOR]

The article reports on an investigation into high sickness rates among nurses in Great Britain. Conducted by Nursing Standard, the investigation attributed the high rates to the prevalence of anxiety, stress and depression among nurses. The National Health Service (NHS) has expressed concern on the impact of sickness absence on health care services.

The article offers information on the synthesis of compounds psilocybe, a main ingredient mushrooms and its uses in the treatment of anxiety and depression in people with terminal cancer and treating nicotine addiction. Topics discussed include synthesis of psilocybe by Janis Fricke, Felix Blei, and Dirk Hoffmeister of Friedrich Schiller University; sequencing of genome of mushroom that govern fungal enzymatic production of psilocybin; and biosynthesis of psilocybe.

This article focuses on the recognition and diagnosis of depression in children and young people. Depression in children and young people is underdiagnosed and has been linked to long-term harm. Effective recognition of the condition is crucial in reducing its burden, and supports appropriate management to prevent potential long-term harm. This article explores the causes, risk factors, and signs and symptoms of depression in children and young people, and the role of nurses and other healthcare practitioners in identifying the condition in this patient group. [ABSTRACT FROM AUTHOR]

Implantable cardioverter defibrillators (ICDs) are an effective treatment to reduce mortality rates in patients who are at risk of sudden cardiac death. However, ICDs have been shown to reduce the patient's mental and physical health-related quality of life. It is essential for nurses to have an understanding of the factors associated with health-related quality of life in patients with ICDs, to develop appropriate strategies to improve patient care and optimise quality of life. A case study is included in this article to enhance understanding of the effects these devices can have on a patient's quality of life. [ABSTRACT FROM AUTHOR]

The article focuses on the importance of implementing a behavioral health training (BHT) program for firefighters. Topics include the purpose of the program to increase knowledge, self-efficacy, and resilience in fire personnel, higher rates of psychiatric symptoms including depression, sleep disturbances, anxiety disorders, and estimated firefighter suicides.

The article presents a biography of the late Canadian singer-songwriter-poet Leonard Cohen. Topics covered include how he approached his career as a professional songwriter and singer, the painstaking methods of his poetry, which references to past and future breakdowns, and a legacy of spiritual enlightenment that he left behind.

Seasonal affective disorder (SAD) is a type of depression that comes and goes in a seasonal pattern, according to the NHS. [ABSTRACT FROM AUTHOR]