Systematic ReviewResearchWorkflowPatient Education

Acute psychosis diagnoses often changed over time, supporting longitudinal follow-up

Frontiers in psychiatry (PubMed)Jul 10, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

A systematic review and meta-analysis of 14 observational studies involving 12,920 people found limited long-term stability after an initial diagnosis of acute and transient psychotic disorder, with diagnostic change and relapse common during follow-up.

What NurseJet pulled from the source

The pooled diagnostic-stability estimate was 41%, while 50% of patients experienced some diagnostic change and 43% experienced relapse. Transition to a schizophrenia-spectrum disorder was more common than transition to a mood disorder. Substantial heterogeneity across studies limits applying these pooled proportions to an individual patient or setting.

Why this matters for nurses

Mental-health nurses often observe symptom course, function, medication response, adverse effects, substance use, and relapse signals across settings and over time. The findings reinforce treating an early label as provisional and preserving high-quality longitudinal observations for future diagnostic review.

Bedside takeaway

Early acute-psychosis diagnoses were often unstable, making careful longitudinal observation and follow-up clinically important.

How This Applies in Practice

Use this when: Caring for a patient after a first or recent episode diagnosed as an acute and transient psychotic disorder.

On your shift

Document the current symptom pattern, function, sleep, substance use, treatment response, and relevant collateral observations.
Use neutral language about diagnostic uncertainty and reinforce the scheduled psychiatric and community follow-up plan.
Escalate relapse indicators, functional decline, medication concerns, or immediate safety risks to the responsible mental-health team.

Keep in mind: Pooled diagnostic transitions do not predict an individual's course or justify changing a diagnosis at the bedside. Follow the mental-health protocol, facility policy, and patient-specific provider orders.

Key takeaways

Fourteen observational studies with 12,920 participants contributed long-term follow-up data.
The pooled diagnostic-stability estimate was 41%, and half of patients experienced some diagnostic change.
Transitions to schizophrenia-spectrum disorders were more frequent than transitions to mood disorders.
High between-study heterogeneity limits precise prognostic estimates for an individual patient.

Practice implications

Document current symptoms, function, sleep, substance use, treatment response, and collateral information without presenting the initial diagnosis as fixed. Reinforce follow-up plans and escalate relapse, deterioration, or safety concerns through the responsible mental-health team.

Limitations & cautions

The evidence was observational and pooled studies with different diagnostic systems, populations, settings, follow-up periods, and outcome definitions. Heterogeneity was substantial, pooled proportions cannot predict one person's course, and the abstract does not establish which follow-up model improves outcomes.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

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Frontiers in psychiatry (PubMed)

Frontiers in psychiatry (PubMed). Diagnostic stability and long-term outcomes of acute and transient psychotic disorders: a systematic review and meta-analysis.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42500321/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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Trauma, violence & abuse (PubMed)Oct 17, 2026Systematic Review

A systematic review and meta-analysis of 20 emergency department studies encompassing 7,498 women found intimate partner violence was associated with a three-fold increased risk of suicide attempt, with psychological violence showing a stronger association than physical violence.

Emergency PsychAI summaryReview source

Systematic ReviewResearchWorkflowQuality ImprovementAI summary · original source linked below

Women experiencing intimate partner violence (IPV) and acute suicidality frequently seek medical evaluation in emergency departments (EDs), but the intersection between these two acute presentations is often overlooked during fast-paced triage. This systematic review, meta-analysis, and narrative synthesis synthesized 20 ED-based studies comprising 7,498 women across three global databases. Investigators used random-effects models and evaluated study quality with the Joanna Briggs Institute (JBI) checklist. Overall, 22% (95% CI: 11%–36%) of women presenting to the ED for suicide-related care had a history of physical IPV, while 13% (95% CI: 8%–18%) of women with known IPV histories reported active suicidality. A history of IPV was associated with a three-fold increase in the risk of suicide attempt (risk ratio [RR] 3.00; 95% CI: 1.39–6.47). Notably, psychological IPV demonstrated a stronger association with suicide risk (RR 3.23; 95% CI: 1.68–6.19) than physical IPV alone (RR 2.00; 95% CI: 1.26–3.17).

Key takeaways

Systematic review synthesized 20 emergency department studies encompassing 7,498 women.
Nearly 1 in 4 women (22%; 95% CI: 11%–36%) presenting to the ED with suicidality had experienced physical IPV.
IPV was associated with a three-fold higher risk of suicide attempt (RR 3.00; 95% CI: 1.39–6.47).
Psychological IPV showed a higher risk ratio for suicide attempts (RR 3.23; 95% CI: 1.68–6.19) than physical IPV (RR 2.00; 95% CI: 1.26–3.17).

Why this matters on shift

Emergency nurses are the primary healthcare professionals conducting universal triage, suicide risk screening (e.g., C-SSRS), and domestic violence assessments. Recognizing that nearly one-quarter of suicidal female presentations co-occur with IPV—and that non-physical, psychological abuse carries an even higher relative risk for suicide attempt—demands that ED nursing assessments integrate trauma-informed safety planning rather than treating suicidality and relationship violence in isolation.

Bedside takeaway

In an ED meta-analysis of 7,498 women, intimate partner violence tripled suicide attempt risk (RR 3.00), with psychological IPV (RR 3.23) linked more strongly than physical IPV (RR 2.00).

Nursing implications

Conduct routine IPV and suicide screenings privately away from companions or visitors, assess for emotional and psychological coercion even when physical injury is absent, and connect patients showing combined risk immediately to hospital social work, victim advocacy, and safe crisis intervention pathways.

Limitations & cautions

High between-study heterogeneity across meta-analytic models (I² > 75%); high risk of bias identified in half of the included primary studies; relied largely on cross-sectional self-reported survey measures.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Trauma, violence & abuse (PubMed). Intimate Partner Violence and Suicide Risk among Women Presenting to Emergency Departments: A Systematic Review, Meta-Analysis, and Narrative Synthesis.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Journal of clinical oncology (PubMed)Sep 16, 2026Research Article

In the MATCH comparative effectiveness trial of 587 cancer survivors, both mindfulness-based cancer recovery and Tai Chi/Qigong significantly reduced post-treatment fatigue and pain interference compared to controls, with Tai Chi also significantly improving sleep quality.

Oncology Med-SurgAI summaryReview source

Research ArticleResearchPatient EducationAI summary · original source linked below

Cancer survivors frequently experience a distressing co-occurring symptom cluster of persistent fatigue, sleep disruption, and chronic pain following primary therapy. The MATCH trial (Mindfulness and Tai Chi for Cancer Health) was a partially randomized patient-preference comparative effectiveness trial evaluating Mindfulness-Based Cancer Recovery (MBCR) and Tai Chi/Qigong (TCQ) in distressed cancer survivors across diverse cancer diagnoses and stages. Enrolled participants (N = 587; mean age 60.7 years) either chose an intervention or underwent randomization to MBCR or TCQ, followed by secondary randomization to immediate intervention or waitlist control. At post-intervention, both MBCR and TCQ produced statistically significant reductions in fatigue compared to waitlist controls, with mean improvements of 3.66 points (P = .036) and 3.42 points (P = .043), respectively. Pain interference improved by more than 1 point in both active groups (MBCR: P = .029; TCQ: P = .002). TCQ also yielded a statistically significant 1.9-point improvement on the sleep quality scale after multivariable adjustment (P = .004). Clinical outcomes did not differ between MBCR and TCQ, and participant preference status did not affect intervention efficacy.

Key takeaways

Partially randomized patient-preference trial enrolled 587 distressed cancer survivors across multiple tumor types and disease stages.
Both mindfulness (MBCR) and movement-based Tai Chi (TCQ) produced statistically significant improvements in cancer-related fatigue (P = .036 and P = .043).
Both interventions achieved meaningful reductions of greater than 1 point in chronic pain interference (P = .029 and P = .002).
Tai Chi uniquely achieved a statistically significant 1.9-point improvement in overall sleep quality scale scores (P = .004).

Why this matters on shift

Oncology and outpatient clinic nurses frequently support cancer survivors struggling with debilitating symptom clusters that persist long after chemotherapy and radiation end. Confirming that both structured mindfulness and Tai Chi offer comparable, evidence-based relief for fatigue and pain interference equips nurses to guide patients toward integrative therapies matching their physical mobility and lifestyle preferences.

Bedside takeaway

In a 587-patient trial of cancer survivors, both mindfulness (MBCR) and tai chi (TCQ) significantly reduced post-treatment fatigue (p=0.036 and p=0.043) and pain interference (p=0.029 and p=0.002), with tai chi also improving sleep quality (p=0.004).

Nursing implications

Screen cancer survivors routinely for clustered symptoms of fatigue, pain, and insomnia, and discuss evidence-backed integrative referrals such as mindfulness-based recovery or Tai Chi as non-pharmacological adjuncts to symptom management.

Limitations & cautions

Partially randomized design allowed patient preference selection; waitlist comparison group rather than active sham control; symptom endpoints relied on patient-reported validated scales.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Journal of clinical oncology (PubMed). Mindfulness and Tai Chi for Sleep, Fatigue, and Pain in Distressed People After Cancer Treatment: A Partially Randomized Patient-Preference Comparative Effectiveness Trial.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

International journal of nursing studies advances (PubMed)Sep 21, 2026Systematic Review

A systematic review and meta-analysis of 17 randomized controlled trials encompassing 2,364 parent-infant dyads found that eHealth-supported early intervention programmes initiated in the NICU significantly reduced parental depressive symptoms at three months post-discharge compared with usual care.

Peds L&D / OBAI summaryReview source

Systematic ReviewResearchPatient EducationWorkflowAI summary · original source linked below

Discharge from the neonatal intensive care unit represents a highly stressful transition for parents of premature infants, often accompanied by postpartum depression, anxiety, and feelings of caregiving inadequacy. This PRISMA systematic review and meta-analysis (PROSPERO CRD42023444721) synthesized 17 randomized controlled trials involving 2,364 parent-infant dyads to determine the efficacy of eHealth-supported transitional programmes initiated during NICU hospitalization or immediately following discharge. Random-effects pooled analysis revealed a statistically significant reduction in parental depressive symptoms at three months post-discharge favoring eHealth interventions over usual care (standardized mean difference -0.25; 95% CI -0.43 to -0.08). Point estimates for parental stress, anxiety, and parenting self-efficacy also numerically favored eHealth programmes, though confidence intervals crossed the null. Data on breastfeeding continuity and infant developmental outcomes were limited across trials.

Key takeaways

Systematic review and meta-analysis synthesized 17 randomized controlled trials involving 2,364 parent-preterm infant dyads.
Evaluated eHealth transitional platforms initiated during NICU hospitalization or immediately post-discharge.
eHealth programmes produced a statistically significant reduction in parental depressive symptoms at three months (SMD -0.25; 95% CI -0.43 to -0.08).
Parental stress and anxiety point estimates favored digital support, but evidence for infant health service utilization remained limited.

Why this matters on shift

NICU and pediatric nurses play a pivotal role in preparing families for safe home discharge. Confirming that structured eHealth communication tools alleviate parental depression in the critical 3-month post-discharge window validates digital extensions of nursing transitional support for vulnerable families.

Bedside takeaway

A meta-analysis of 17 RCTs (2,364 parent-infant dyads) found nurse-led eHealth transitional support significantly reduced parental depressive symptoms at 3 months post-NICU discharge (SMD -0.25, 95% CI -0.43 to -0.08).

Nursing implications

Integrate verified eHealth or secure messaging platforms into NICU discharge education workflows to provide continuous maternal and paternal guidance, monitoring parents closely for signs of postpartum depression throughout the 90-day transitional period.

Limitations & cautions

Moderate heterogeneity across interventions (web portals, mobile apps, video consultations); wide confidence intervals for stress and anxiety outcomes; scarce reporting of infant clinical and developmental endpoints.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

International journal of nursing studies advances (PubMed). Effectiveness of eHealth interventions for parents of preterm infants during transition from neonatal intensive care unit-to-home: A systematic review and meta-analysis.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

How This Applies in Practice

Key takeaways

Practice implications

Limitations & cautions

Exact source links

More updates for this clinical area

Meta-analysis of 20 emergency department studies links intimate partner violence to three-fold higher suicide attempt risk

MATCH trial of 587 cancer survivors shows mindfulness and tai chi significantly alleviate post-treatment fatigue and pain interference

Meta-analysis of 17 RCTs finds eHealth transitional support reduces parental depressive symptoms at 3 months post-NICU discharge