High school students, particularly men, that report sexting may be more likely to participate in other risk behaviors and experience negative mental health outcomes. Further research should clarify the temporality of links between sexting, cyberbullying, depression, and suicide to inform mental health screening and treatment availability in high schools.

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Background A great deal of research has focused on the psychosocial characteristics of individuals who seek aesthetic procedures as well as the psychological changes they experience after successful treatment. Little research, however, has explored the experiences of transgender individuals who have undergone nonsurgical injectable procedures (NSIPs). Objectives This study examined theoretically relevant psychosocial characteristics of transgender individuals who have and have not undergone NSIPs. Methods An online survey of demographic and psychosocial constructs was disseminated through transgender-specific support groups and Facebook groups from December 2019-February 2020. Psychosocial measures included self-esteem (Rosenberg Self-Esteem Inventory), anticipated discrimination (Intersectional-Anticipated Discrimination), gender identity and physicality congruence (Transgender Congruence Scale), body image (Body Image Quality of Life Inventory), and overall satisfaction with facial appearance (FACE-Q Face Overall). The Mann-Whitney U test assessed differences by history of NSIPs and the Kruskal-Wallis test assessed gender and racial differences. A P-value of <.05 was considered significant. Results Participants (N=101) were transfeminine (n=58), transmasculine (n=31), gender-diverse (n=12) and mostly (71%) white. Almost two-thirds of respondents (62%) reported using NSIPs; six participants reported undergoing NSIPs from non-licensed providers. History of NSIPs was associated with greater self-esteem(P< .01), less anticipated discrimination(P< .01), greater physicality and gender identity congruence(P< .001), greater body image quality of life(P< .001), and greater satisfaction with overall facial appearance (P< .01). Conclusions Participants who used NSIPs reported more positive psychosocial symptoms than participants who have not undergone NSIPs. Experiences with NSIPs may play an important role in psychosocial functioning for transgender individuals.

This article presents the history of a 21-year-old female college student with total denial of pregnancy who experienced an acute dissociative reaction during the spontaneous delivery at home without medical assistance where the newborn died immediately. Psychiatric examination, self-report questionnaires, legal documents, and witness reports have been reviewed in evaluation of the case. Evidence pointed to total denial of pregnancy, that is, until delivery. The diagnoses of an acute dissociative reaction to stress (remitted) and a subsequent PTSD were established in a follow-up examination conducted 7 months after the delivery. Notwithstanding the inherently dissociative nature of total denial of pregnancy, no other evidence has been found about pre-existing psychopathology. For causing the newborn's death, the patient faced charges for "aggravated murder," which were later on reduced into "involuntary manslaughter." Given the physical incapacity to perform voluntary acts due to the loss of control over her actions during the delivery, and the presence of an acute dissociative reaction to unexpected delivery, the legal case represents an intricate overlap between "insanity" and "incapacitation" defenses. The rather broad severity spectrum of acute dissociative conditions requires evaluation of the limits and conditions of appropriate legal defenses by mental health experts and lawyers. Denial of pregnancy as a source of potential stress has attracted little interest in psychiatric literature although solid research exists which documented that it is not infrequent. Arguments are presented to introduce this condition as a diagnostic category of female reproductive psychiatry with a more neutral label: "unperceived pregnancy."

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Study findings indicate that more research on adolescent sexual behavior is warranted, specifically examining the differentials between variables that affect intentions and those that affect behavior. A focus on gender and age differences during intervention development may allow for better targeting and more efficacious interventions. Adding peer and media influences to the framework of attitudes, parenting, and neighborhood may offer more insight into patterns of adolescent sexual behavior risk.

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