Adolescence is a critical life phase for mental health and anxiety an emerging challenge for adolescents. Psychoeducational interventions to promote mental health literacy (MHL) on anxiety in adolescents are needed. This study aimed to test the primary outcome of a future full-scale trial: improvement of adolescents’ anxiety MHL components on recognition, prevention strategies, and self-help strategies. A sample of 38 adolescents, 24 (63.2%) females and 14 (36.8%) males, with an average age of 14.50 years (SD = 0.89) participated in this study. Each class was allocated to the intervention group (IG, n = 21) or the waiting list control group (WLCG, n = 17) with single-blinded randomization. MHL was assessed using the QuALiSMental. The ProLiSMental psychoeducational intervention consists of four or eight weekly sessions of 90 or 45 min for adolescents, using different active pedagogical methods and techniques. There also are initial and final sessions with adolescents, legal guardians, and teachers. There was a significant improvement with a small to relatively strong effect size in many dimensions of anxiety MHL components. This study suggests the progression to the full-scale trial and values the important role of mental health and psychiatric nurses in the adolescents’ empowerment for MHL in schools.

Background: Older adults experience physical and psychological declines affecting independency. Adapted and structured combined interventions composed of cognitive stimulation and physical exercise contribute to comorbidities’ reduction. Methods: Multicenter single-blinded two-arm cluster randomized controlled trial conducted to assess effectiveness of a combined intervention (CI), composed of a cognitive stimulation program (CSP) and a physical exercise program (PEP), on psychological and physical capacities of frail older adults as to on their activities of daily living. Were recruited 50 subjects from two elderly end-user organizations. Of these, 44 (65.9% females, mean age of 80.5 ± 8.47 years) were considered eligible, being randomly allocated in experimental (EG) or control group (CG). Data collected at baseline and post-intervention. EG received CI three times a week during 12 weeks. CG received standard care. Non-parametric measures were considered. Results: At baseline, groups were equivalent for study outcomes. The comparison of pre- and post-intervention data revealed that subjects receiving CI reduced depressive symptomatology and risk of fall based on gait and balance, and improved gait speed. Simultaneously, in the CG a significant decline on activities of daily living was observed. Significant results were found among biomechanical parameters of gait (BPG). EG’ effect size revealed to be small (0.2 ≤ r < 0.5). CG’ effect size was also small; but for activities of daily living there was an evident decrease. Conclusion: The CI is effective on managing older adults’ psychological and physical capacities.

Background: Mental health promotion is an important phenomenon for nursing sciences, which requires a perspective from nursing theories. Although the evidence points to the effectiveness of the interventions in this domain, it is little based on nursing theories. Objective: To explore different theoretical contributions of nursing, taking as reference the phenomenon of mental health promotion. Main topics under analysis: Mental health promotion, the philosophical perspective of post-modernism, the theory of interpersonal relations, the health promotion model, the transitions theory, and the adaptation model and their contributions to mental health promotion. Conclusion: Some theoretical contributions to mental health promotion should be highlighted, such as the importance of building interpersonal relations with the patients (Peplau) and identifying the person as a biopsychosocial being (Pender) who undergoes transitions (Meleis) and requires support to adjust and adopt healthier behaviors (Roy).

The risk of violence in psychiatric settings implies the assessment of dynamic predictors to adjust nursing interventions. So as to identify the pattern of aggressive behaviors, assess the dynamic predictors of violence in hospitalized patients, and analyze the predictive qualities of the Brøset Violence Checklist (BVC), an exploratory/descriptive study was conducted in psychiatric wards in Coimbra, Portugal. The instruments used were: the staff observation aggression scale-revised (SOAS-R), visual analogue scale (VAS), and the BVC. For the period of a month, 64 patients with a mean age of 29 years, unemployed, and with psychotic disorders were observed. In this group, 13 people displayed 15 aggressive behaviors of moderate severity, which had consequences for nurses; they were triggered by the denial of something through verbal aggression and controlled by non-restrictive measures. The most common predictors of violence were irritability and boisterousness. It was also concluded that the BVC shows good predictive characteristics (sensitivity and specificity) of violence, thus, it may be considered as a useful and effective instrument to assess the risk of violence and, consequently, to adjust nursing interventions to prevent this phenomenon. Keywords Risk assessment, violence, patients, psychiatryIn short-stay acute psychiatric units, patients are often in a crisis and at risk of displaying aggressive behaviors (Marques, Mendes, and De Sousa 2010). Although most of them end up not displaying those behaviors, nurses play a key role in the prevention and control of these type of behaviors (Björkdahl, Olsson, and Palmstierna 2006), given the relational nature of their profession and the implications of such behaviors on the organization of psychiatric units (Jansen, Middel, and Dassen 2005). Controlling those behaviors is a challenge for the health care teams, because they compromise the therapeutic environment, while interfering with the other patients' safety, demoralizing the staff and sometimes causing severe damages. Therefore, it becomes important to assess the risk of this type of behavior, so as to act properly and facilitate prevention.Estimating or predicting the risk of violence means to assess the likelihood of a patient's displaying aggressive behaviors, taking into account

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