Objective Several studies have used the Sport Mental Health Assessment Tool 1 (SMHAT-1) among athletes but none have combined SMHAT-1 with a subsequent clinical intake interview. The aim of this study was to evaluate the diagnostic effectiveness of SMHAT-1 supplemented by a brief, in-person clinical intake interview in evaluating the prevalence of mental health concerns in elite athletes. Methods Sections 1 and 2 from SMHAT-1 were administered in person during the routine biannual medical check-up for Olympic athletes at the National Centre for Sports Medicine in Poland. Immediately after completing the measures, all athletes were interviewed by qualified psychologists who evaluated their mental health and provided recommendations. Results A total of 1121 elite athletes (545 female, 576 male) aged 18–53 (M=24.39, SD=5.09) were evaluated 2–8 months before the 2024 Paris Olympic Games; 72.4% scored above the triage threshold and 51% were positively screened in SMHAT-1’s section 2. Based on the subsequent mental health evaluation, only 9.5% showed signs of persistent mental health concerns and required referral to a mental health specialist. In 24.2%, their distress levels/symptoms were assessed as occasional and normal in relation to demands, and they underwent a psychoeducational intervention or were advised to consult a sports psychologist. Female athletes scored significantly higher in most questionnaires. Conclusion SMHAT-1 proved a useful addition to the routine medical check-ups for elite athletes. Extending SMHAT-1 with a brief clinical intake interview substantially elevated the efficacy of the mental health evaluation, with an additional benefit of raising mental health literacy. All data relevant to the study are included in the article or uploaded as supplementary information. All data were anonymised and shared [online supplemental file 2][1]. [1]: #DC3

中文翻译：

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运动心理健康评估工具 1 的诊断效果，并辅以对波兰精英奥林匹克运动员队列的简短临床入学访谈


目的 几项研究在运动员中使用了运动心理健康评估工具 1 （SMHAT-1），但没有一项研究将 SMHAT-1 与随后的临床入学访谈相结合。本研究的目的是评估 SMHAT-1 的诊断有效性，并辅以简短的面对面临床入学访谈，以评估精英运动员心理健康问题的患病率。方法 SMHAT-1 的第 1 部分和第 2 部分在波兰国家运动医学中心对奥林匹克运动员进行一年两次的例行体检期间亲自进行。完成这些措施后，所有运动员立即接受了合格的心理学家的访谈，这些心理学家评估了他们的心理健康并提供了建议。结果 共 1121 名年龄在 18-53 岁之间的精英运动员 （545 名女性，576 名男性） （M=24.39，SD=5.09） 在 2024 年巴黎奥运会前 2-8 个月进行了评估;72.4% 的得分高于分诊阈值，51% 的 SMHAT-1 第 2 部分筛查呈阳性。根据随后的心理健康评估，只有 9.5% 的人表现出持续心理健康问题的迹象，需要转诊给心理健康专家。在 24.2% 的患者中，他们的痛苦水平/症状被评估为偶尔且与需求相关正常，并且他们接受了心理教育干预或被建议咨询运动心理学家。女运动员在大多数问卷中的得分明显更高。结论 SMHAT-1 被证明是精英运动员常规体检的有用补充。通过简短的临床入院访谈扩展 SMHAT-1 大大提高了心理健康评估的有效性，还有一个好处可以提高心理健康素养。 与研究相关的所有数据都包含在文章中或作为补充信息上传。所有数据均经过匿名处理并共享 [在线补充文件 2][1]。[1]：#DC3