Volume 28, Number 1, March 2026

Editoral in Hungarian

Faludi Gábor

Abstract

Objective: With the increasing prominence of the alternative, dimensional model of personality disorders, developmental aspects have also gained importance in the diagnosis of personality disorders. Researchers and practicing clinicians are paying growing attention to adolescents showing signs of disharmonious personality development. Although the study of personality pathology in adolescence remains a debated area both domestically and internationally, timely and appropriate diagnostics can form the basis for adequate therapy. The Structured Clinical Interview for DSM-5 Alternative Model for Personality Disorders (SCID-5-AMPD) is recommended for assessing adolescents with signs of disharmonious personality development. However, to the best of our knowledge, the SCID-5-AMPD has not yet been applied in adolescent populations in Hungary. The aim of our study is to administer the SCID-5-AMPD to a psychiatric adolescent sample at risk for disharmonious personality development aged 14 and older, as well as to a control group without psychiatric diagnoses.

Method: Our study has been approved by the Scientific and Research Ethics Committee of the Health Scientific Council (reference number: BM/9184-1/2024). Considering the developmental characteristics of adolescence, our research focuses on a dimensional approach, i.e., exploring the functioning of personality and the degree of maladaptive personality traits. Therefore, the first and second modules of the SCID-5-AMPD were administered. After obtaining written informed consent from both the guardian and the adolescent, the adolescents and their parents completed a questionnaire package, followed by the administration of the first two modules of the SCID-5-AMPD with the adolescent. Written notes were taken during the interviews. The clinical sample included 14 participants, while the control group consisted of 17 participants. The study involved 8 boys (25.8%) and 23 girls (74.2%), with a mean age of 16.06 years (SD = 1.24 years).

Results: The items proved to be understandable and relevant for adolescents. Feedback from adolescents with disharmonious personality development indicated that the structured format of the interview and the coherence created by the standardized questions helped them better understand their otherwise hard-to-define difficulties. The duration of the interviews varied widely. Interviewers were able to learn how to administer a structured clinical interview, apply the concepts of the SCID-AMPD, and gain a closer understanding of the dimensional approach to personality disorders and its practical application.

Conclusions: Based on our preliminary experience, the first two modules of the SCID-5-AMPD may be applicable for assessing adolescents. Further investigation of its psychometric properties among Hungarian adolescents is essential for future use.

Keywords: SCID-5-AMPD, semi-structured diagnostic interview, adolescents, personality disorder

Abstract

The authors analyse the predictive utility of their self-developed, 6-item Short Suicide Questionnaire among 151 discharged psychiatric inpatients during a 91-95 month follow-up. During this time-frame, 3 patients (2%) died by suicide and 15 (10%) attempted suicide. The results show that reaching 22 points or more from the maximum total score of 28 is a reliable indicator not only the current but also the future suicidal risk.

Keywords: suicide, suicide attempt, psychiatric patients, questionnaire, prediction

Abstract

This study examines the role of media in shaping suicidal behavior, with particular emphasis on the Werther and Papageno effects. Drawing on current research, it explores how media coverage can either increase or decrease the risk of suicide, depending on the narrative it conveys. Using the Fluid Vulnerability Model of Suicide as a framework to interpret these effects, the paper analyzes the characteristics of risk-enhancing and protective media content. Based on these insights, it provides practical recommendations for responsible communication practices aimed at suicide prevention. The aim of this paper is to contribute to the development of evidence-based media policy and prevention strategies, especially to protect vulnerable populations.

Keywords: suicide, media effect, Werther effect, Papageno effect, prevention, mental health

Abstract

Objectives: In the clinical practice and research of childhood and adolescent mental health disorders, there is a common practice of involving multiple informants, including parents, teachers, and the child or adolescent themselves. However, data obtained from these different sources typically show low to moderate levels of agreement. The aim of this study is to interpret the discrepancies between data provided by different informants in the diagnostic process of psychological disorders, and to examine which theoretical models can explain these discrepancies and what clinical significance they may hold.

Methods: In the course of this literature review, two interpretative frameworks are presented: first, the Operation Triad Model, which examines the identifiable patterns in the data derived from different informants, and second, the Attribution Bias Context Model, which organizes the possible causes of discrepancies among informants. The review placed particular emphasis on the clinical and prognostic relevance of the observed patterns.

Results: The Operation Triad Model identifies three types of operations: convergent operations, where the data point in the same direction; compensatory operations, where divergent data suggest methodological issues; and divergent operations, where the data differ in a way that can be meaningfully interpreted and may provide valuable additional information. Divergent operations can contribute to the identification of new risk factors and facilitate a deeper, contextually grounded understanding of pathologies. Based on the findings, integrating data and discrepancies from multiple informants enriches the interpretation of psychopathological phenomena and enables more accurate prognosis.

Conclusions: The discrepant data obtained through the involvement of multiple informants cannot always be simply explained as measurement error but may reflect phenomena that contribute to a deeper understanding of the nature and context of symptoms. Integrating the conscious interpretation of these discrepancies into clinical practice can improve diagnostic accuracy and enhance the effectiveness of treatment planning.

Keywords: Informant discrepancies, Questionnaire methodologies, Operation Triad Model, OTM, Attribution Bias Context Model, ABC

Abstract

The global refugee crisis has led to a significant influx of Arabic-speaking immigrants and refugees (ASIR) into Europe and North America, particularly from conflict-affected regions such as Syria. This review examines the prevalence and determinants of post-traumatic stress disorder (PTSD), depression, and post-migration stress behavioural patterns among Arabic immigrant and refugee populations. Drawing on existing literature and data from countries such as Hungary, Germany, and Sweden, this paper highlights the significant mental health challenges faced by these populations. Key findings indicate high prevalence rates of PTSD (ranging from 11.4% to 83.4%) and depression (ranging from 14.5% to 60%), influenced by pre-migration trauma, post-migration living difficulties, and sociodemographic factors such as gender and age. Post-migration stressors, including language barriers, social isolation, discrimination, and uncertain legal status, are identified as critical contributors to mental health outcomes. The review underscores the need for culturally sensitive mental health interventions and policies that address both pre- and post-migration stressors to improve the well-being of Arabic immigrant and refugee populations.

(Neuropsychopharmacol Hung 2026; 28(1): 37–46)

Keywords: arab, immigrants, refugees, post-traumatic stress disorder (PTSD), depression, post-migration stress, mental health, cultural adaptation, resilience.