Literature Collection

BACKGROUND: Medical trainees, including medical students and residents, face considerable stress, necessitating research on their wellbeing. Here we performed a bibliometric analysis to provide an overview of research on wellbeing in this vulnerable population. METHODS: A systematic search of the Web of Science Core Collection from 2014 to 2023 identified 1148 relevant publications. Bibliometric techniques were used to analyze publication counts, countries and institutions, authors, journals, and keyword co-occurrence. RESULTS: The United States led publication output. Clusters of research topics included mental health symptoms for medical students, professional challenges for residents, multiple aspects of wellbeing, and interventions. COVID-19 emerged as a significant topic, with new topics such as narrative medicine and professionalism emerging in the post-pandemic era. CONCLUSIONS: The research landscape on medical trainee wellbeing is evolving and was significantly reshaped by COVID-19. Emerging topics such as narrative medicine and professionalism reflect a shift towards comprehensive approaches. Future research should investigate online learning on trainee wellbeing, address mistreatment and trauma, and integrate narrative medicine to enhance empathy and resilience. This focus will provide actionable insights for improving the wellbeing of medical trainees and creating a healthier training environment.

INTRODUCTION: Previous research has identified a high need for suicide risk management in primary care settings among adolescents. This randomized controlled trial examined the efficacy and feasibility of BRITEpath, a smartphone-based application and clinician portal designed to help youth in reducing suicide risk. METHODS: Participants (n = 101, ages 12-26, 85.1% female) that were either referred to or were receiving mental health services in primary care were randomly assigned (2:1 allocation) to BRITEpath + TAU (n = 68) or TAU alone (n = 33). Independent evaluators, blinded to treatment, assessed outcomes at baseline, Week 4, and Week 12. Primary outcomes included suicidal thoughts and behaviors, depression, mental health service use, and quality of life; secondary outcomes examined usability and satisfaction. RESULTS: No significant differences were found between BRITEpath + TAU and TAU for primary outcomes overall. However, BRITEpath participants reported lower suicidal thoughts over time. History of inpatient and outpatient care moderated the effect of BRITEpath on depression. Participants reported high satisfaction and perceived usefulness of the app. CONCLUSIONS: BRITEpath shows promising effects on suicidal thoughts and depression, particularly among those with prior psychiatric care. Future research should explore strategies to enhance engagement, such as integration with ongoing care, which may strengthen the impact on clinical outcomes. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT04672798.

Understanding caretaker attitudes towards the prevention of pediatric behavioral disorders is important for the effective delivery of prevention services. Caretakers of children ages 0-18 (N = 385) read a description of pediatric prevention services in an integrated primary care setting. Attitudes towards these services were assessed. The majority of participants (80%) agreed that prevention is important, 87% reported interest in learning their child's risk for a behavioral disorder, 84% were interested in learning the results of a screen for behavioral disorders, and 88% were interested in learning parenting strategies. Participants endorsed similarly positive attitudes towards prevention in integrated care. Perceived risks outweighing perceived benefits, younger caregiver age, and identifying as non-Hispanic White predicted less favorable attitudes towards prevention. Other socio-demographic characteristics (e.g., caretaker education) were associated with disorder-specific beliefs about the importance of prevention, but not general attitudes. Findings suggest generally positive attitudes towards preventing behavioral disorders in an integrated care setting.