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1.
Culturally Sensitive and Congruent Digital Learning Initiatives for Health Professions across Europe : Towards an Inclusive European Professional Mobility
Manuel Lillo-Crespo, 2025, samostojni znanstveni sestavek ali poglavje v monografski publikaciji

Opis: The importance of digital education seems to have gained momentum since Covid-19 pandemic especially in the field of health professions. Since then more innovative options, new terms, frameworks and uses, introduced in this chapter, have emerged with the aim to assure at least the same quality as the face-to-face traditional educational approaches and recently by including the culturally competent perspective. This progress may contribute positively by avoiding high expenses for organizations and promoting values in digital education such as equity, inclusion and diversity recognition, even when mobility restrictions happen for any reason. The chapter presents the routing guide to developing culturally sensitive and congruent digital learning initiatives for health professionals, according to international organizations and experts, that could be applied worldwide, by outlining the experiential learning and good practices from projects conducted across Europe.
Ključne besede: Digital health, Cultural Competency, Europe, Education, [Diversity, Equity, Inclusion]
Objavljeno v RUP: 22.12.2025; Ogledov: 130; Prenosov: 0
.pdf Celotno besedilo (184,77 KB)

2.
Correction : Poštuvan et al. A lonelier world after COVID-19
Vita Poštuvan, Nina Krohne, Meta Lavrič, Vanja Gomboc, Diego De Leo, Lucia Rojs, 2025, drugi znanstveni članki

Opis: Materials and Methods: A representative sample of 444 participants completed online questionnaires at four time points: 2019 (wave 0), 2021 (wave 1), 2022 (wave 2), and 2023 (wave 3). Results: The results show significant changes in the levels of well-being and emotional loneliness over these periods. In particular, emotional loneliness increased during the pandemic, followed by a later decrease. Well-being appeared to increase after pandemic-related restrictions diminished but decreased again one year later. No significant changes concerning social loneliness and suicidal ideation were observed. 2.2. Participants A stratified sample of the general population of Slovenia was included in this study (see Section 2.1). A total of 1189 participants took part in the study at the baseline (wave 0). Subsequent waves (1–3) were marked by a level of dropout (see Figure 1), leading to the final number of 444 participants. The flowchart of the sample procedure is illustrated in Figure 1. The total dropout rate from wave 0 to wave 3 was 62.66%. Considering the whole sample, gender distribution did not change during this study. There were 211 (47.52%) female and 233 (52.48%) male participants. The age characteristics changed during the years, as the sample aged. These data are presented in Table 1. 2.4. Statistical Analysis Additionally, pairwise comparisons between social and emotional loneliness within each wave were performed using Bonferroni-adjusted post hoc tests. Multivariate tests were used to evaluate effect sizes (partial η2) for these comparisons.
Ključne besede: COVID-19, loneliness, mental health, well-being, suicide
Objavljeno v RUP: 22.12.2025; Ogledov: 178; Prenosov: 2
.pdf Celotno besedilo (534,44 KB)
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3.
Data from the Researcher Mental Health Observatory STAIRCASE survey
Jana Lasser, Stefan T. Mol, Alja Čontala, Ana Slavec, Andreja Zulim de Swarte, Anna Khachatryan, Anna Maria Eleuteri, Anupoma Haque, Baiba Jansone, Blerina Vrenozi, Mateja Erce Paoli, 2025, drugi znanstveni članki

Opis: The data presented here derives from the STAIRCASE survey on researcher mental health. The survey reached 4,296 researchers predominantly from European countries who completed an online questionnaire about mental health outcomes such as depression, anxiety, stress, burnout, and well-being, as well as working conditions and leadership behaviour. Data and materials of the study are available at https://doi.org/10.21249/DZHW:remo:1.0.0 as a fully anonymised downloadable Campus Use File and a pseudonymised Scientific Use File, accessible in a secure remote analysis environment. Data can be reused for secondary analyses, educational purposes, or combined with similar data sets.
Ključne besede: mental health, occupational health, researchers, working conditions
Objavljeno v RUP: 19.12.2025; Ogledov: 154; Prenosov: 9
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4.
How many people die by suicide each year? Not 727,000 : a systematic review and meta-analysis of suicide underreporting across 71 countries over 122 years
Nicola Meda, Ludovica Angelozzi, Matteo Poletto, Angelo Patane, Josephine Zammarrelli, Irene Slongo, Fabio Sambataro, Diego De Leo, 2025, pregledni znanstveni članek

Opis: Background: Suicide underreporting undermines accurate public health assessments and resource allocation for suicide prevention. This study aims at synthesizing evidence on suicide underreporting and to estimate a global underreporting rate. Methods: We conducted a PRISMA-compliant systematic review on suicide underreporting, following a pre-registered protocol. A meta-analytical synthesis was also conducted. Quantitative data from individual studies was extracted to provide an overall global estimate of suicide underreporting (42 studies covering 71 countries out of the initial 770 unique studies, spanning 1900–2021). Most studies used retrospective institutional datasets to estimate underreporting through reclassification of undetermined deaths or comparisons across databases. Demographic and geographic disparities were also examined. Results: The 42 studies selected provided some quantitative data on suicide underreporting for general or specific populations. 14 of these studies provided data to be meta-analyzed. The global suicide underreporting rate was estimated to be 17.9% (95% CI: 10.9–28.1%) with large differences between countries with high and low/very low data quality. In this scenario, the last WHO estimates of suicide deaths – corrected for underreporting – would be more than one million (1,000,638; 95% CI: 859,511–1,293,006) and not 727,000 suicides per year. Underreporting was higher in low- and middle-income countries (LMICs) with incomplete death registration systems, such as India and China (34.9%; 95% CI 20.3–53%), while high-income countries exhibited lower rates (11.5%; 95% CI 6.6–19.3%). Contributing factors included stigma, religiosity, limited forensic resources, and inconsistent use of International Classification of Diseases (ICD) codes. Gender and age disparities were notable; Female suicides and those among younger or older individuals were more likely to be misclassified. Discussion: Addressing suicide underreporting requires improving death registration systems globally, particularly in LMICs. Standardizing ICD usage, improving forensic capacity, and reducing stigma are critical steps to ensure accurate data. Heterogeneity, geographical disparities, temporal biases, and invariance of suicide underreporting for countries with low-quality data demand further corroboration of these findings.
Ključne besede: misclassification, under-reporting, suicide, global burden, global health estimates
Objavljeno v RUP: 18.12.2025; Ogledov: 170; Prenosov: 3
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5.
Qualitative content analysis of COVID-19’s role in suicide attempts leading to hospital care
Martina Mravlja, Anthony Pisani R., Annamarie Bailey, Nicola Meda, Alexandre Paim-Diaz, Kristina Zurich, Kenneth Conner, 2025, izvirni znanstveni članek

Opis: Introduction: The impact of the COVID-19 pandemic on suicide risk has been documented during the acute phase, but less is known about people who attempted suicide during the post-acute period. This study investigates how adults who attempted suicide during the post-acute pandemic period (2021–2023) understood COVID-19’s role in their attempt. Method: We analyzed interview data from 329 adults (59% female; 41% male), enrolled following a recent suicide attempt between 2021 and 2023. Participants were asked about the general impact of COVID-19 on their lives and then specifically about whether stress related to COVID-19 was a primary reason for their attempt or contributed to their suicidal thoughts. Results: When asked about their recent attempt, 11% of participants identified stress related to COVID-19 as the primary reason for their attempt, and an additional 23% indicated it contributed to their suicidal thoughts. When describing general impacts, participants reported effects across multiple domains: social isolation, physical health concerns, mental health impacts, and economic effects. Discussion: The attribution of suicide attempts to COVID-19-related stress during the post-acute period highlights the extended impact of public health crises on vulnerable individuals. These findings emphasize the need for sustained, integrated medical and mental healthcare following such crises.
Ključne besede: suicide, COVID-19, pandemic mental health, loneliness, isolation, healthcare, stress, prevention
Objavljeno v RUP: 17.12.2025; Ogledov: 185; Prenosov: 5
.pdf Celotno besedilo (251,11 KB)
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6.
A lonelier world after COVID-19 : longitudinal population-based study of well-being, emotional and social loneliness, and suicidal behaviour in Slovenia
Vita Poštuvan, Nina Krohne, Meta Lavrič, Vanja Gomboc, Diego De Leo, Lucia Rojs, 2024, izvirni znanstveni članek

Opis: Background and Objectives: The impact of coronavirus disease 2019 (COVID-19) goes beyond the consequences of the infectious disease, especially as the measures taken to prevent the spread of the virus have had a very profound impact on people’s social relationships and everyday lives. Several studies have investigated these effects, but there is a lack of longitudinal studies in Central Europe. Objective: The aim of our study was to observe changes in well-being, loneliness, and suicidal behaviour before, during, and after the COVID-19 pandemic using the same population-based cohort. Materials and Methods: A representative sample of 444 participants completed online questionnaires at four time points: 2019 (wave 0), 2021 (wave 1), 2022 (wave 2), and 2023 (wave 3). Results: The results show significant changes in the levels of well-being and emotional loneliness over these periods. In particular, emotional loneliness increased during the pandemic, followed by a later decrease. Well-being appeared to increase after pandemic-related restrictions diminished but decreased again one year later. No significant changes concerning social loneliness and suicidal ideation were observed. Conclusions: Our study suggests that the COVID-19 pandemic changed the way in which people perceive their well-being and especially their relationships with others. From the data, we can conclude that people’s worldview is now lonelier than before the pandemic.
Ključne besede: COVID-19, loneliness, mental health, well-being, suicide
Objavljeno v RUP: 20.10.2025; Ogledov: 368; Prenosov: 7
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8.
Perspektiva moških in žensk v procesu skrbi za reproduktivno zdravje
Anton Grmšek Svetlin, Nika Jerina, Melisa Smajlović, Mirko Prosen, Rebeka Lekše, 2025, izvirni znanstveni članek

Opis: Research Questions (RQ):What factors do men and women think influence the quality of their reproductive health? What differences exist between men and women in their perception of their own reproductive health? How do stigmas and taboos affect reproductive health?Purpose:The purpose of this research wasto examine the perspectives of men and women in the process of reproductive health care.Method:Qualitative method was used.Data was collectedfrom a purposive sample throughfourfocus groups. The data was analyzed using content analysis.Results:Results: three themes were identified through the qualitative analysis method: (1) reproductive health of men and women, (2) socio-cultural aspects of reproductive health, and (3) challenges of reproductive health. At the same time, 13 sub-themes were identified. The study showed that primary socialization has a significant impact on an individual's attitudes towards reproductive health in adulthood. It was found that women are more concerned about reproductive health than men. It was also found that stigmas and taboos, which prevent open discussion about reproductive health, have a major impact on the quality of reproductive health. This leads to lack of information, fear, discrimination and inequalities in access to healthservices.Organization:The research highlights the need for more education and emphasis on preventive care and reducing social exclusion and stigma related to reproductive health.Society:The results of the research contribute to a better understanding of men's and women's perceptions of reproductive health and how they think it is influenced by society. In this context, it also provides a better understanding of how stigmas and taboos affect reproductive health and how to seek help when reproductive health problems arise.Originality:The research provides insights into the specific nature of men's and women's reproductive health and how society views it. The originality of the research is that it offers a broad insight into how men and women understand reproductive health. It also provides an outline of the current state of reproductive health in society.Limitations/Future Research: The answers obtained from the participantsare subjective in nature and are subject to interpretation by the researchers. It would be useful to conduct quantitative type of studies in the future. Also, one of the limitations is related to the research sample, which includes a set of participantsfrom two Slovenian regions. In the future, it would be necessary to include participantsfrom the whole of Slovenia so that the results can be generalizedto the whole population.
Ključne besede: reproductive health, sexuality, society, taboos
Objavljeno v RUP: 28.09.2025; Ogledov: 477; Prenosov: 12
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9.
Collaborative outcomes study on health and functioning during infection times (COH-FIT) : global and risk-group stratified course of well-being and mental health during the COVID-19 pandemic in adolescents
Marco Solmi, Trevor Thompson, Samuele Cortese, Andrés Estradé, Agorastos Agorastos, Joaquim Radua, Elena Dragioti, Davy Vancampfort, Lau Caspar Thygesen, Harald Aschauer, Diego De Leo, 2025, izvirni znanstveni članek

Opis: Objective: To identify the COVID-19 impact on well-being/mental health, coping strategies and risk factors in adolescent worldwide. Method: Anonymous online multi-national/language survey in the general population (representative/weighted non-representative samples, 14-17years), measuring change in well-being (WHO-5/range=0-100) and psychopathology (validated composite P-score/range=0-100), WHO-5 <50 and <29, pre- versus during COVID-19 pandemic (26/04/2020-26/06/2022). Coping strategies, nine a-priori defined individual/cumulative risk factors were measured. χ2, penalized cubic splines, linear regression, and correlation analyses were conducted. Results: Analyzing 8,115 of 8,762 initiated surveys (representative=75.1%), the pre-pandemic WHO-5 and P-score remained stable during the study (excluding relevant recall bias/drift), but worsened intra-pandemic by 5.55±17.13 (standard deviation) and 6.74±16.06 points, respectively (effect size d=0.27 and d=0.28). The proportion of adolescents with WHO-5 scores suggesting depression screening (<50) and major depression (<29) increased from 9% to 17% and 2% to 6%. WHO-5 worsened (descending magnitude, with cumulative effect) in adolescents with a mental or physical disorder, female gender, and with school closure. Results were similar for P-score, with the exception of school closure (not significant) and living in a low-income country, as well as not living in a large city (significant). Changes were significantly but minimally related to COVID-19 deaths/restrictions, returning to near-pre-pandemic values after >2 years. The three most subjectively effective coping strategies were internet use, exercise/walking, and social contacts. Conclusion: Overall, well-being/mental health worsened (small effect sizes) during early stages of COVID-19, especially in vulnerable subpopulations. Identified at-risk groups, association with pandemic-related measures, and coping strategies can inform individual behaviours and global public health strategies.
Ključne besede: Covid-19, pandemic, survey, WHO-5, P-factor, well-being, mental health, psychiatry, adolescents
Objavljeno v RUP: 12.09.2025; Ogledov: 383; Prenosov: 4
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10.
Cultural narratives, social norms, and psychological stigma : a study of mental health help-seeking behavior in Peshawar, Pakistan
Daraz Umar, Štefan Bojnec, Younas Khan, Zakir Hussain, 2025, izvirni znanstveni članek

Opis: Introduction: Mental health stigma remains a major barrier to accessing psychiatric care worldwide, with pronounced effects in culturally traditional societies such as Peshawar, Pakistan. In the Pashtun cultural context, the code of Pashtunwali—an honor-based system—shapes social attitudes and behaviors, potentially influencing mental health help-seeking patterns. This study examines how cultural narratives, social norms, and stigma interact to affect help-seeking behavior in this sociocultural setting. Methods: A cross-sectional survey was conducted among a stratified random sample of 400 adults aged 19 years and above in Peshawar. Data were collected using culturally validated instruments, including the Mental Illness Stigma Scale (MISS) and a Social Norms Scale. Bivariate analyses employed simple linear regression and binary logistic regression to examine individual relationships between variables. Multivariate analyses, including multiple linear regression and Structural Equation Modeling (SEM), were used to assess combined effects and mediation pathways. Results: Cultural narratives had a positive impact on help-seeking behavior, explaining 42% of its variance. Stigma showed a significant negative association, decreasing help-seeking likelihood by 26% for each unit increase. Social norms demonstrated a positive association with help-seeking behavior and indirectly reduced stigma. Collectively, these variables accounted for 68% of the variance in help-seeking likelihood. Discussion: The findings highlight the pivotal role of culturally resonant narratives and supportive social norms rooted in Pashtunwali in improving mental health service utilization. Addressing stigma while reinforcing positive cultural frameworks can substantially enhance help-seeking behavior in Peshawar and similar sociocultural contexts.
Ključne besede: cultural narratives, mental health stigma, social norms, psychiatric help, structural equation modeling (SEM)
Objavljeno v RUP: 28.08.2025; Ogledov: 653; Prenosov: 7
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