ArticleBritish journal of sports medicine2023
Analysis of the Sport Mental Health Assessment Tool 1 (SMHAT-1) in Team USA athletes.
Article in British journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Self-Report Health Screening Tools in Female Athletes: A Systematic Review of Domain Coverage, Validation, and Use Across Participation Levels.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Mental health in elite athletes: International Olympic Committee consensus statement (2026).British journal of sports medicine · 2026Article
- International Olympic Committee Sport Mental Health Assessment Tool 2 (IOC SMHAT2): development, content validity and feasibility.British journal of sports medicine · 2026Article
- Prevalence of Mental Health Symptoms and Recommendations in a Cohort of Elite Paralympic versus Olympic Athletes: The Sport Mental Health Assessment Tool 1 (SMHAT-1) in Combination with Clinical Intake Interviews.Journal of human kinetics · 2026Article
- Mental health in elite and youth athletes: emerging strategies and evidence-based trends: a narrative review.Annals of medicine and surgery (2012) · 2026Review
- International Validity of the Athlete Psychological Strain Questionnaire (APSQ): A Scoping Review.Diagnostics (Basel, Switzerland) · 2026Review
- Assessment of depression and suicidal thoughts among female trail runners.Frontiers in psychology · 2026Article
- A comparative analysis of the Sport Mental Health Assessment Tool (SMHAT-1) between paediatric and adult Olympic and Paralympic athletes.BMJ open sport & exercise medicine · 2026Article
- Implementation and utility of an online psychological assessment tool in youth soccer players: a one-year longitudinal study.Frontiers in sports and active living · 2026Article
- SMHAT-1 mental health screening in Russian male professional soccer players: associations with age, competition level, and self-perceived team status.Frontiers in sports and active living · 2026Article
- Global athlete mental health screening: cross-cultural validity of the athlete psychological strain questionnaire.Frontiers in psychology · 2026Article
- A preliminary study on the prevalence of mental health symptoms in current and former elite kickboxers and their possible association with severe musculoskeletal injuries and concussions.Discover mental health · 2025Article
- Examining the moderating role of physical fitness on the relationship between ice and snow sports participation and health outcomes in China.BMC sports science, medicine & rehabilitation · 2025Article
- Psychological services delivered to Team USA Olympic and Paralympic athletes after positive screen on the SMHAT-1 questionnaires.BMJ open sport & exercise medicine · 2025Article
- Mental health in Para athletes-interaction with physical health problems in prospective monitoring.Frontiers in psychology · 2025Article
- Update on sport mental health assessment tool-1 false negative rates from the 2024 Paris Olympic and Paralympic Games.BMJ open sport & exercise medicine · 2025Article
- Comprehensive periodic health evaluations of 454 Norwegian Paralympic and Olympic athletes over 8 years: what did we learn?British journal of sports medicine · 2024Article
- A study on the relationship and path between mental health and burnout of Chinese athletes.Frontiers in psychology · 2024Article
- Unmasking mental health symptoms in female professional football players: a 12-month follow-up study.BMJ open sport & exercise medicine · 2024Article
- Mental health symptoms among Dutch elite athletes and their coaches: a cross-sectional study.BMJ open sport & exercise medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Sport Mental Health Assessment Tool 1 (SMHAT-1) was introduced as a critical component to the athlete health evaluation. However, the effectiveness of the initial triage step questionnaire (Athlete Psychological Strain Questionnaire (APSQ)) has yet to be analysed within a National Olympic and Paralympic Committee delegation. This study evaluated the ability of the APSQ to identify athletes at risk for mental health concerns.
methodsAthletes completed the APSQ and all subsequent screening questionnaires of the SMHAT-1 as part of their Tokyo and Beijing Olympic and Paralympic Games health history screening. Each questionnaire was scored according to published guidelines, and the false-negative rate (FNR) for the APSQ identifying athletes that were positively screened on the subsequent questionnaires was computed.
results1066 athletes from 51 different Olympic and Paralympic and Summer and Winter sports completed the SMHAT-1. The FNRs for all athletes who were positively screened on a subsequent questionnaire with an APSQ score of <17 ranged from 4.8% to 66.7%. The global FNR for being positively screened on
conclusionDue to the high FNR of the APSQ detecting a potential mental health concern, we recommend athletes complete the APSQ and all subsequent questionnaires of the SMHAT-1 rather than using only the APSQ as an initial screening test.
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