{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:06:12Z","timestamp":1779195972456,"version":"3.51.4"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mental health conditions (MHCs) are established risk factors for the development and severity of erectile dysfunction (ED), yet it is unclear whether patients are accessing psychiatric care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The objectives of this study are to assess the proportion of young men with a MHC within 5\u00a0years before or after their ED diagnosis, determine their comorbidities, and characterize their interactions with psychiatric and psychological subspecialists before and after their ED diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was performed using The Ottawa Hospital's patient data from June 1, 2019, to June 1, 2025. Male patients aged 18-40\u00a0years at the index date of their ED diagnosis were included. MHCs were defined with the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition and MHC-related terms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Demographics, prevalence of MHCs, and referrals and appointments with psychiatric and psychological services were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 535 patients met the inclusion criteria, with a median age at ED diagnosis of 32.4 (n\u2009=\u2009535), body mass index of 27 (n\u2009=\u2009172), 5.3% (n\u2009=\u200919\/355) with uncomplicated diabetes, and 0.8% (n\u2009=\u20093\/355) with complicated diabetes. Of these, 15.1% (n\u2009=\u200981\/535) were diagnosed with an MHC within 5\u00a0years before or after their ED index date. Of those with an MHC, 28.4% (n\u2009=\u200923\/81) received a psychiatry referral; 14.8% (n\u2009=\u200912\/81) before and 13.6% (n\u2009=\u200911\/81) after their ED diagnosis. Only 6.2% (n\u2009=\u20095\/81) of those with an MHC had a psychiatry appointment, all of which were prior to their ED diagnosis. Regarding psychology referrals, 13.6% (n\u2009=\u200911\/81) of those with an MHC received them, specifically 8.6% (n\u2009=\u20097\/81) before and 4.9% (n\u2009=\u20094\/81) after their ED diagnosis. Conversely, 22.2% (n\u2009=\u200918\/81) of those with an MHC had a psychology appointment, of which 14.8% (n\u2009=\u200912\/81) occurred before, and 7.4% (n\u2009=\u20096\/81) occurred after their ED diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>These findings highlight a potential gap in mental health care access, emphasizing the need to integrate psychiatric support into ED management for young men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and Limitations<\/jats:title>\n                    <jats:p>To our knowledge, this is one of the largest studies examining MHCs and access to psychiatric care among young patients with ED. Temporal conclusions were limited by the implementation of a new electronic medical record system in 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with ED scarcely interacted with mental health specialists, suggesting a lack of MHC access or interest in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdag143","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:16:50Z","timestamp":1777637810000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluating mental health risk and psychiatric care access in 18-40\u00a0year old men with erectile dysfunction"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1561-6746","authenticated-orcid":false,"given":"Maya","family":"Morcos","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University 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