# HSN—helping in mental distress: a new emotion focused psychological first aid program

**Authors:** Marina Scheele, Sandra Appel, Isabelle Rausch, Martin Schecklmann, Jakob Klein, Susanne Staudinger, Roger Schmidt, Peter M. Kreuzer, Berthold Langguth

PMC · DOI: 10.3389/fpubh.2025.1589608 · Frontiers in Public Health · 2025-06-25

## TL;DR

HSN is a new two-hour psychological first aid program in Germany that focuses on emotions and shows initial success in improving participants' confidence to help others in mental distress.

## Contribution

HSN introduces a novel emotion-focused, blended, and low-threshold psychological first aid training program.

## Key findings

- HSN demonstrated good feasibility with no significant side effects.
- Participants showed improved confidence to help others after completing the program.

## Abstract

Psychological first aid programs aim to train lay people to help others who are experiencing a mental health crisis or developing mental health problems. The current article introduces the new German psychological first aid training program HSN. The acronym HSN stands for “Helfen in Seelischer Not” (helping in mental distress) but also for the action chain “hear, speak, network.” The HSN program differs from other well-examined mental health first aid programs by (1) focusing primarily on emotions instead of disorders, (2) using a blended approach, combining face-to-face and online elements right from the start of the project and (3) a low-threshold approach with a course duration of two hours. Here we specify the HSN concept and report first results from a sample of 150 students. The participating students completed a self-report questionnaire before and after the course regarding their “confidence to help.” The program demonstrated good feasibility without any relevant side effects. On a descriptive level we observed an improvement of the averaged values of all questionnaire items after the course. These positive initial results merit the further development of HSN as a low-threshold psychological first aid program.

## Full-text entities

- **Diseases:** mental health crisis (OMIM:603663), disorders (MESH:D009358), HSN (OMIM:615632), mental distress (MESH:D012128), mental health problems (MESH:D000076082)

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12237678/full.md

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12237678/full.md

## References

51 references — full list in the complete paper: https://tomesphere.com/paper/PMC12237678/full.md

---
Source: https://tomesphere.com/paper/PMC12237678