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Abstract In this study, high‐resolution CO2 concentration data were generated for East Asia to analyse long‐term changes in atmospheric CO2 concentrations, as East Asia is an important region for understanding the global carbon cycle. Using the Weather Research and Forecasting model coupled with Chemistry (WRF‐Chem), atmospheric CO2 concentrations were simulated in East Asia at a resolution of 9 km for a period of 10 years (2009–2018). The generated CO2 concentration data include CO2 concentrations, biogenic CO2 concentrations, anthropogenic CO2 concentrations, oceanic CO2 concentrations, biospheric CO2 uptake, biospheric CO2 release and meteorological variables at 3‐h intervals. The simulated high‐resolution CO2 concentrations, biogenic CO2 concentrations and anthropogenic CO2 concentrations are stored in NetCDF‐4 (Network Common Data Form, version 4) format and are available for download at https://doi.org/10.7910/DVN/PJTBF3. The simulated annual mean surface CO2 concentrations in East Asia were 391.027 ppm in 2009 and 412.949 ppm in 2018, indicating an increase of 21.922 ppm over the 10‐year period with appropriate seasonal variabilities. The monthly mean CO2 concentrations in East Asia were verified using surface CO2 observations and satellite column‐averaged CO2 mole fraction (XCO2) from Orbiting Carbon Observatory 2 (OCO‐2). Based on surface CO2 observations and OCO‐2 XCO2 concentrations, the average root‐mean‐square error (RMSE) of the simulated CO2 concentrations in WRF‐Chem was 2.474 and 0.374 ppm, respectively, which is smaller than the average RMSE of the low‐resolution CarbonTracker 2019B (CT2019B) simulation. Therefore, the simulated high‐resolution atmospheric CO2 concentrations in East Asia in WRF‐Chem over 10 years are reliable data that resemble the observed values and could be highly valuable in understanding the carbon cycle in East Asia.

Abstract A large‐scale apparent polar wander occurred during the Jurassic interval, which is interpreted as true polar wander (TPW). As the motion is nearly orthogonal to the TPW axis, the North China Block (NCB) experienced the largest latitudinal and environmental changes and provides unique constraints on Jurassic TPW. However, due to the lack and uneven quality of paleomagnetic data, TPW records in North China are controversial. Here, we report a new paleomagnetic pole (80.8°N, 13.0°E, A95 = 7.4°) from the late Jurassic sills and dykes that intrude the Nandaling and Xiahuayuan formations in the NCB. The new pole places the NCB at 36.8° ± 7.4°N at 155 ± 3.4 Ma, using Beijing as the reference site. Combined with the reliable Jurassic poles, our study reveals a large, steady southward shift of 37.3° ± 7.2° for the NCB during the Middle and Late Jurassic, and reflects a component of TPW. The position of ∼155 Ma pole also supports significant TPW prior to ∼160 Ma and agrees with proposals attributing the diachronous 165–155 Ma aridification across the Eastern Asian blocks.

Abstract Precipitation plays a significant role in human society and the environment, and how large‐scale climatic features influence precipitation has obtained worldwide attention. The nonhomogeneous hidden Markov model (NHMM) is a typical method to downscale large‐scale climatic elements to the regional level for many hydrologic applications. The traditional NHMM using point estimates of parameters has the risk to have no solutions for parameter estimation, but the Bayesian‐NHMM provides a Bayesian method to estimate parameters and avoids the risk. In this study, the suitability of the Bayesian‐NHMM in East Asia is evaluated. Two typical regions (i.e., the Yangtze River basin and the Zhujiang River basin in China) dominated by different climates were chosen to check model performance. Results show that: (1) the model could divide rainy‐season precipitation into several hidden states, whose variation is correspondent to the variability of monsoon and flux moisture transportation; (2) the model captures seasonality and inter‐annual variation of precipitation amount and also wet days during rainy season well in both river basins. These results suggest that the model could improve the prediction of daily precipitation in East Asia, which in turn could help many regions with similar climatic conditions worldwide to supervise floods and droughts.

Abstract Background Immune checkpoint inhibitors (ICIs) combined with chemotherapy have been recommended as the standard treatment for advanced NSCLC patients without driver‐gene mutations. However, there are different genetic characteristics and biological traits of tumors between non‐East Asian (nEA) and East Asian (EA) patients with NSCLC, which may contribute to differences in the efficacy of ICIs in different ethnic populations. Previous findings regarding differences in the efficacy of ICIs among ethnic groups have been inconsistent. Therefore, we performed a meta‐analysis by collecting published data to investigate the clinical outcomes of ICIs for EA NSCLC patients compared to nEA patients. Methods Overall survival (OS) and progression‐free survival (PFS) were used to access the difference in survival outcomes between the two populations. Subgroup analyses were performed based on the line of ICIs, the use of ICIs alone or in combination, and the type of ICIs. Results A total of 9826 NSCLC patients from 21 randomized controlled trials (RCTs) with 4064 EAs were included, which involved PD‐1, PD‐L1, and CTLA‐4 inhibitors. EA NSCLC patients who received ICIs‐based therapy were associated with significantly improved survival benefits in OS (p = 0.02) compared with nEA patients. Subgroup analysis indicated that EA patients receiving first‐line ICIs showed significantly superior OS compared with nEA patients (p = 0.007). Chemo‐ICIs treatment showed significant advantages in terms of OS (p = 0.002) and PFS (p = 0.02) among EA patients compared to nEA patients. In addition, PD‐1 inhibitors were associated with improved OS among both EA patients and nEA patients compared with PD‐L1 inhibitors. Conclusion EA NSCLC patients who received ICIs‐based therapy were associated with significantly improved survival benefits compared with nEA NSCLC patients. Earlier intervention with ICIs and combination treatment was more recommended for EA NSCLC patients. Moreover, PD‐1 inhibitors are associated with prolonged survival among both EA and nEA patients.

Abstract Insect speciation is among the most fascinating topics in evolutionary biology; however, its underlying mechanisms remain unclear. Allopatric speciation represents one of the major types of speciation and is believed to have frequently occurred during glaciation periods, when climatic oscillation may have caused suitable habitats to be fragmented repeatedly, creating geographical isolation among populations. However, supporting evidence for allopatric speciation of insects in East Asia during the Pleistocene glaciation remains lacking. We aim to investigate the effect of climatic oscillation during the Pleistocene glaciation on the diversification pattern and evolutionary history of hemipteran insects and to test the hypothesis of Pleistocene species stability using spinous assassin bugs Sclomina (Hemiptera: Reduviidae), a small genus widely distributed in southern China but was later found to have cryptic species diversity. Here, using the whole mitochondrial genome (mitogenome) and nuclear ribosomal RNA genes, we investigated both interspecific and intraspecific diversification patterns of spinous assassin bugs. Approximate Bayesian computation, ecological niche modeling, and demographic history analyses were also applied to understand the diversification process and driven factors. Our data suggest that the five species of Sclomina are highly diverged, despite three of them currently being cryptic. Speciation occurred during the Pleistocene when suitable distribution areas were possibly fragmented. Six phylogeographic groups in the type species S. erinacea were identified, among which two groups underwent expansion during the early Last Glacial Period and after Last Glacier Maximum. Our analyses suggest that this genus may have experienced climate‐driven habitat fragmentation and postglacial expansion in the Pleistocene, promoting allopatric speciation and intraspecific diversification. Our results reveal underestimated species diversity in a small insect group and illustrate a remarkable example of allopatric speciation of insects in East Asia promoted by Pleistocene climatic oscillations. These findings provide important insights into the speciation processes and aid the conservation of insect species diversity.

Abstract East Asian winter weather has altered dramatically in response to progressing climate change. However, analysis of time‐averaged atmospheric fields might obscure climate change signals that could relate to specific types of events. This study aimed to detect climate change signals for various background atmospheric fields by applying classification to daily surface pressure patterns. We found a pronounced trend of increase in surface air temperature over Japan since the 1980s, stronger than the seasonal mean trend, when dominating cold air advection from the Sea of Okhotsk. This cold air was warmed and humidified by the retreat of sea ice in the Sea of Okhotsk. In contrast, the warming trend was mitigated when warm air advection was dominant. These results highlight the importance of daily background atmospheric conditions in amplifying and localizing the impact of regional climate change.

Abstract Accurate estimation of evapotranspiration (ET) can be affected by cloud change, while cloud‐induced bias errors in ET change remain poorly understood. Here we evaluated seven ET data sets from satellite microwave and optical models, atmospheric reanalysis and land surface models over East Asia. Results showed that although the data sets estimated ET changes overall well under mild cloud increase, all of them had a systematic overestimation (by 73.8%–159.8%) and deteriorated capability of capturing ET change under heavy cloud increase, especially over dense vegetation with large cloud cover. Overestimated incident solar radiation under clouds contributed to the deteriorated performances of ET. Cloud‐induced change in radiation and its errors played larger role in summer ET change over densely vegetated lands, while those in air temperature and relative humidity were dominant jointly over grass and barren lands. These results can serve as a reference for improving ET models and their forcing inputs under clouds.

Abstract Southern China spring rainfall (SCSR) is significant for agricultural sowing and soil moisture accumulation before the rainy summer. A better prediction of the rainfall improves our ability to risk response to natural disasters. It is found that the SCSR can be promoted by multi‐year El Niño events through the high‐latitude pathway (HP) and low‐latitude pathway (LP). The long‐lasting El Niño warming heats the tropical troposphere persistently until the decaying spring, which strengthens the Arctic polar vortex and the mid‐latitude blockings. This HP is in favor of more southward transport of Rossby wave energy and cold air, resulting in strong ascending motions over southern China (SC) in spring. The multi‐year El Niño also induces an enhanced western North Pacific anticyclone and a secondary circulation transporting moisture to SC through the LP. The HP is more important in the early spring, while the LP dominates the heavy SCSR in the late spring.

Abstract Climate change influences species geographical distribution and diversity pattern. The Chinese fire‐bellied newt (Cynops orientalis) is an endemic species distributed in East‐central China, which has been classified as near‐threatened species recently due to habitat destruction and degradation and illegal trade in the domestic and international pet markets. So far, little is known about the spatial distribution of the species. Based on bioclimatic data of the current and future climate projections, we modeled the change in suitable habitat for C. orientalis by ten algorithms, evaluated the importance of environmental factors in shaping their distribution, and identified distribution shifts under climate change scenarios. In this study, 46 records of C. orientalis from East China and 8 bioclimatic variables were used. Among the ten modeling algorithms, four (GAM, GBM, Maxent, and RF) were selected according to their predictive abilities. The current habitat suitability showed that C. orientalis had a relatively wide but fragmented distribution, and it encompassed 41,862 km2. The models suggested that precipitation of warmest quarter (bio18) and mean temperature of wettest quarter (bio6) had the highest contribution to the model. This study revealed that C. orientalis is sensitive to climate change, which will lead to a large range shift. The projected spatial and temporal pattern of range shifts for C. orientalis should provide a useful reference for implementing long‐term conservation and management strategies for amphibians in East China.

Abstract Species distribution models (SDMs) across past, present, and future timelines provide insights into the current distribution of these species and their reaction to climate change. Specifically, if a species is threatened or not well‐known, the information may be critical to understand that species. In this study, we computed SDMs for Orientocoluber spinalis, a monotypic snake genus found in central and northeast Asia, across the past (last interglacial, last glacial maximum, and mid‐Holocene), present, and future (2070s). The goal of the study was to understand the shifts in distribution across time, and the climatic factors primarily affecting the distribution of the species. We found the suitable habitat of O. spinalis to be persistently located in cold‐dry winter and hot summer climatic areas where annual mean temperature, isothermality, and annual mean precipitation were important for suitable habitat conditions. Since the last glacial maximum, the suitable habitat of the species has consistently shifted northward. Despite the increase in suitable habitat, the rapid alterations in weather regimes because of climate change in the near future are likely to greatly threaten the southern populations of O. spinalis, especially in South Korea and China. To cope with such potential future threats, understanding the ecological requirements of the species and developing conservation plans are urgently needed.

Abstract The cricket Velarifictorus micado is widely distributed in East Asia and colonized the United States of America (the USA) in 1959. It has two life cycles: one having egg diapause and the other having nymphal diapause. We aimed to investigate the biogeographic boundary between them and determine when and why V. micado diverged. Mitochondrial fragments including COI and CytB were used for haplotype network, demographic analysis, and divergence time estimation in individuals of East Asia. We selected several samples from the USA to find out the colonization origin. The haplotype network indicated there were three lineages based on COI, NE lineage (having egg diapause and mainly distributed in the northern regions), SE lineage (having egg diapause and mainly distributed in the south central regions), and SN lineage (the nymph diapause and mainly distributed in the deep south regions). The molecular chronograms indicated that the first divergence of V. micado into two main lineages, NE and southern lineages (SE and SN), was essentially bounded by the Yangtze River. It occurred around ~0.79 Ma (95% HPD: 1.13–0.46 Ma) in the Middle Pleistocene Transition. This was followed by the divergence of the southern lineage into two sublineages, SE and SN lineage, occurred around ~0.50 Ma (95% HPD: 0.71–0.25 Ma), corresponding to the time of development of glaciers in various parts of the Qinghai–Tibet Plateau (QTP) (0.73–0.46 Ma). SE lineage might originate from southwestern China based on the comparison between the haplotype network based on COI and CytB. Our study suggested that divergences of lineages have twice co‐occurred with the tendency of cooling climate in Asia after the Mid‐Pleistocene, and the life‐history strategy may play an important role in lineage diversification. The results suggest that US populations are originally established twice by independent colonization from the SE and NE. [Correction added on 02 June 2021 after first publication: the sixth sentence has been updated to clarify the distributions of the SE and SN lineages, which were originally described as being in the “southern regions”; the last sentence of the abstract has been rewritten for clarity.]

Abstract Invasive freshwater macroalgae are rarely described. Montagnia macrospora is a freshwater red alga introduced from South America to East Asia via the global aquarium trade. The earliest occurrence record of this alga in Taiwan is dated 2005. To determine whether M. macrospora has become invasive in Taiwan and to understand the traits that facilitated its invasion, we took a multifaceted approach that combines examination of ecological background and population genetic analysis. Our island‐wide survey showed that M. macrospora is widespread in the field across Taiwan, where the climate greatly differs from that of South America, and can self‐sustain for nearly a decade. Our population genetic analysis revealed a lack of genetic diversity of M. macrospora in Taiwan, consistent with the hypothesis that the alga expanded through asexual reproduction. Moreover, during our long‐term ecological assessments and field surveys, we observed that M. macrospora is an ecological generalist that can survive in a wide range of temperature, pH, illumination, and nutrient enrichment. Taken together, our data suggest that M. macrospora has successfully invaded the freshwater ecosystems of Taiwan, likely due to its ability to disperse asexually and to grow under broad environmental conditions. We hope that our study brings attention to invasive freshwater algae, which have been overlooked in conservation planning and management.

Abstract Isolation by spatial distance (IBD), environment (IBE), and historical climatic instability (IBI) are three common processes assessed in phylogeographic and/or landscape genetic studies. However, the relative contributions of these three processes with respect to spatial genetic patterns have seldom been compared. Moreover, whether the relative contribution differs in different regions or when assessed using different genetic markers has rarely been reported. Lindera obtusiloba has been found to have two sister genetic clades of chloroplast (cpDNA) and nuclear microsatellite (nSSR), both of which show discontinuous distribution in northern and southern East Asia. In this study, we used the Mantel test and multiple matrix regression with randomization (MMRR) to determine the relative contributions of IBD, IBE, and IBI with respect to L. obtusiloba populations. Independent Mantel tests and MMRR calculations were conducted for two genetic data sets (cpDNA and nSSR) and for different regions (the overall species range, and northern and southern subregions of the range). We found a significant IBI pattern in nSSR divergence for all assessed regions, whereas no clear IBI pattern was detected with respect to cpDNA. In contrast, significant (or marginal) divergent IBD patterns were detected for cpDNA in all regions, whereas although a significant IBE was apparent with respect to the overall range, the effect was not detected in the two subregions. The differences identified in nSSR and cpDNA population divergence may be related to differences in the heredity and ploidy of the markers. Compared with the southern region, the northern region showed less significant correlation patterns, which may be related to the shorter population history and restricted population range. The findings of this study serve to illustrate that comparing between markers or regions can contribute to gaining a better understanding the population histories of different genomes or within different regions of a species' range.

Abstract Understanding the link between future changes in East Asian summer monsoon (EASM) and global warming levels is of great importance for regional climate change adaptation and mitigation in East Asia. Here, we analyze the projected changes in EASM circulation and precipitation under different warming levels from 1.5 to 5 °C above the preindustrial global mean temperature, using large‐ensemble simulations conducted with Canadian Earth System Model version 2. We find that the model projects enhanced monsoon circulation and precipitation with global warming. The 850‐hPa meridional winds, precipitation, and 500‐hPa vertical ascending motion will be enhanced nonlinearly, while the total column precipitable water will increase quasi‐linearly. The increase in precipitable water in the wet EASM region is only slightly greater than global average but the increase in precipitation is much greater than global one, with enhanced 500‐hPa vertical ascending motion contrary to global mean. The increased low‐level land‐sea thermal contrast leads to the enhanced EASM meridional circulation and thus bring a large amount of moisture into Eastern China, providing favorable conditions for additional increase in precipitation. A simplified moisture budget analysis shows that the dynamic component related to strengthening monsoon circulation plays dominant role in the increase in EASM precipitation when the global temperature increases by more than approximately 2 °C, while the thermodynamic component caused by increased water vapor is important when the warming is smaller.

Abstract Paleobotanical and sedimentological records indicate that marked climatic and environmental transitions had taken place in East China by the early Miocene. These transitions were driven by paleogeographic and global climatic shifts, but the respective roles of these shifts in the Asian climate remain unclear. Here, we use the low‐resolution Norwegian Earth System Model and Community Atmosphere Model version 4 to compare the effects of Tibetan Plateau (TP) growth, Paratethys Sea retreat and global cooling on the East Asian climate change that occurred by the early Miocene. The modeling results indicate that these three factors had clearly different climatic effects in East China. In particular, TP growth increased annual precipitation in East China, while Paratethys Sea retreat and global cooling generally decreased annual precipitation in East China. In addition, the three factors studied all drove aridification in inland Asia. Considering the increased precipitation, arid/semiarid‐to‐humid shift in vegetation and high plant diversity present in East China by the early Miocene, as shown in geological records, TP growth thus played a major role in these respects.

Abstract Widespread tree species cover large geographical areas and play important roles in various vegetation types. Understanding how these species responded to historical climatic changes is important for understanding community assembly mechanisms with evolutionary and conservation implications. However, the location of refugial areas and postglacial history of widespread trees in East Asia remain poorly known. We combined microsatellite data (63 populations, 1756 individuals) and ecological niche modeling to examine the range‐wide population diversity, genetic structure, and historical demography of a pioneer tree species, Asian white birch (Betula platyphylla Suk.) across East Asia. We found a north‐to‐south trend of declining genetic diversity and five clusters, corresponding to geographical regions. Different clusters were inferred to have diverged through Pleistocene climatic oscillations and have different expansion routes, leading to genetic admixture in some populations. Ecological niche models indicated that the distribution of B. platyphylla during the last glacial maximum still had a large latitude span with slight shifts toward southeast, and northern populations had more variable distribution ranges than those in the south during later climatic oscillations. Our results reflect the relatively stable distribution through the last glacial–interglacial cycles and recent multidirectional expansion of B. platyphylla, providing new hypotheses for the response pattern of widespread tree species to climate change. The gradual genetic pattern from northeast to southwest and alternative distribution dynamics possibly resulted from environmental differences caused by latitude and topographic heterogeneity.

Abstract The genetic diversity and structure of Pulsatilla cernua, a continental‐grassland relict, were investigated using variations in chloroplast DNA (cpDNA) and microsatellites of nuclear DNA. In the analyses of three cpDNA regions, 17 haplotypes were found in 24 populations of P. cernua from Japan, Korea, and Russia. Although the route and time of migration between the continent of Asia and Japan could not be well resolved, the cpDNA haplotype network suggests the existence of several ancient lineages in Japan and a recent secondary migration from Japan to the continent. Microsatellite analyses did not indicate genetic structure among the Japanese populations, indicating the existence of gene flow across the distribution area until recently. These results indicate that the present fragmentation of P. cernua in Japan may reflect a rapid, recent reduction from a previously large, continuous distribution.

Abstract Future changes in the frequency and destructiveness of landfalling tropical cyclones (TCs) over East Asia were investigated by analyzing the simulations of two high‐resolution (20–25‐km) atmospheric general circulation models forced by sea surface temperature (SST) in the present period (1979–2003) and under future warming conditions (2075–2099) of the RCP8.5 scenario. The present‐day simulations capture well the genesis count, tracks, and intensity associated with TCs striking the coastal areas of Taiwan‐East China (TWCN), the South China Sea‐Indochina (SCS) and the vicinity of Japan (JP). The frequency of landfalling TCs over TWCN, SCS, and JP is projected to nearly half by the end of the 21st century. However, these landfalling TCs induce enhanced destructive threats of stronger winds and heavier precipitation under the future warmer climate. Through attribution analysis we found the reduced frequency of landfalling TCs to be mainly caused by a decline in TC genesis count (rather than TC track changes), while the increased intensity of landfalling TCs is linked with changes in the TC intensification rate (as opposed to duration changes). Diagnoses of the genesis potential index and eddy energetics further suggest that the mid‐tropospheric drying and weakened synoptic‐scale eddy activity resulting from anticyclonic and downward circulations over the main TC genesis region create an unfavorable environment for TC genesis. In contrast, warmer SST, reduced vertical wind shear and enhanced efficiency of eddy kinetic energy generations appear over the regions before TC landfall, resulting in a more rapid intensification of TCs that later approach the coastal areas.

Abstract Illegal wildlife trade is gaining prominence as a threat to biodiversity, but addressing it remains challenging. To help inform proactive policy responses in the face of uncertainty, in 2018 we conducted a horizon scan of significant emerging issues. We built upon existing iterative horizon scanning methods, using an open and global participatory approach to evaluate and rank issues from a diverse range of sources. Prioritized issues related to three themes: developments in biological, information, and financial technologies; changing trends in demand and information; and socioeconomic, geopolitical shifts and influences. The issues covered areas ranging from changing demographic and economic factors to innovations in technology and communications that affect illegal wildlife trade markets globally; the top three issues related to China, illustrating its vital role in tackling emerging threats. This analysis can support national governments, international bodies, researchers, and nongovernmental organizations as they develop strategies for addressing the illegal wildlife trade.

Abstract To better understand the subsurface behavior of subducting slabs and their relation to the tectonic evolution of the overriding plate, we conduct a full waveform inversion on a large data set to determine a high‐resolution seismic model, FWEA18 (Full Waveform inversion of East Asia in 2018), of the upper mantle beneath eastern Asia. FWEA18 reveals sharper, more intense high‐velocity slabs in the upper mantle under the southern Kuril, Japan, and Ryukyu arcs, than previous studies have found. The subducting Pacific plate is imaged as a roughly 100 km thick high‐velocity slab to near 550 km depth indicating relatively little deformation. Stagnation near 600 km depth is observed over horizontal distances of 600 km or less. The Pacific plate we image accounts for roughly 25 Myr of subduction with older slab likely located in the lower mantle. The Philippine plate, subducting beneath the Ryukyu Islands, has a clear termination at about 450 km depth. This may indicate a tearing event in the past or that less Philippine Sea plate has subducted than previously thought. We found a double‐layer high‐velocity anomaly above and below 660 km under the Yellow Sea and eastern coast of North China. This may correspond to parts of the Philippine Sea plate that detached in the past and Pacific plate that have intersected at depth or a complicated behavior of the Pacific plate at that depth. Slow cylindrical anomalies cross the entire upper mantle are imaged beneath major Holocene volcanoes, which are likely upwellings associated with the edges of deep slabs that are entering the lower mantle.

Introduction: A knowledge gap exists in the relationship between suicide and psychiatric hospitalization in Asia. This study investigated inpatient service utilization before suicide and suicide risk at different periods of hospitalization in Taiwan., Methods: Using the National Health Insurance Research Database, we applied a nested case-control design with controls being alive on the date each case died by suicide., Results: A total of 56 939 suicide cases and 1 138 780 controls were included (2:1 male-to-female ratio). Only 5.7% of suicide cases had a history of psychiatric hospitalization in the preceding year. Patients with a history of psychiatric hospitalization were associated with a higher risk of inpatient and postdischarge suicide than those without prior hospitalization. The risk was greatest in the first postdischarge week, decreased gradually, and remained significantly elevated over 7 years after discharge. The suicide risk increased more in females. Patients with affective disorders had higher inpatient and postdischarge suicide risks than those with schizophrenia spectrum disorders., Discussion: A low rate of psychiatric hospitalization before suicide implies that inpatient treatment of psychiatric disorders could be enhanced. Community-based approaches to suicide prevention can improve the treatment utilization of those with suicide risk and bridge continuous care from hospital to community., (© 2023 John Wiley & Sons Australia, Ltd.)

Objective: There has been no review on eating disorder-focused psychological interventions in East Asia. The aims of this systematic scoping review were to summarize existing and forthcoming studies and to synthesize the cultural adaptations and effectiveness of the interventions identified., Method: Five databases (PubMed, Embase, Global Health, Medline, PsychInfo) and seven trial registries were searched. Studies examining eating disorder (ED)-focused psychological interventions in East Asia were included. Narrative synthesis was used for the analysis., Results: Eighteen published studies and 14 ongoing/completed but unpublished studies were included. Most published studies were uncontrolled and five were feasibility studies. Among the ongoing studies, 71% are randomized controlled trials. Cognitive therapies were the main approach used, including individual cognitive behavioral therapy (CBT), internet CBT, group CBT, guided self-help, and cognitive remediation therapy. Cultural adaptations were mostly related to language, communication style and tailoring the dietary requirements to local diets. Interventions were shortened to increase acceptability and reduce financial and time burden to patients. Overall, studies showed good acceptability, completion rates and positive effects on ED symptoms (indicated by moderate to large effect sizes or statistical significance)., Discussion: Studies were underpowered and uncontrolled, thus precluding meaningful interpretations of effectiveness to be made. However, the psychological interventions were acceptable and showed promise in delivery. Digital and group interventions seemed to be the most feasible given barriers in the local health systems. More controlled studies, as well as studies on children and adolescents, are needed in future., Public Significance: This is the first systematic scoping review examining psychological interventions for eating disorders in East Asia. Research in eating disorders has largely focused on White people and in Western countries. This review will be helpful for clinicians and researchers to understand the current state of the field through a non-Eurocentric lens, to identify gaps and plan future research., (© 2023 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.)