Discrimination and support from friends and family members experienced by people with mental health problems: findings from an Australian national survey

Morgan, Amy J.; Reavley, Nicola; Jorm, Anthony F.; Beatson, Ruth

doi:10.1007/s00127-017-1391-z

Cited by 27 publications

(18 citation statements)

References 36 publications

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“…Furthermore, according to our results, even though social support perceived from friends and functioning were observed to have a weak effect on suicidal behaviour, the importance of socialization and support from friends was seen when the friendships other than those with family members are considered as the source of individualization. The effect of friend support perception with functioning on suicide attempt, supports the importance of social roles in the management of the disease [36]. This weak relationship was thought to be related to the current assessment of perceived social support and GAF scores while evaluating suicidal behaviour as lifelong.…”

Section: Discussionmentioning

confidence: 92%

Bipolar disorder and perceived social support: relation with clinical course, and the role of suicidal behaviour

Kizilkurt

Giynas

Güleç

et al. 2019

Psychiatry and Clinical Psychopharmacology

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Objective: The objective in this study was to analyse the effects of the perceived social support from the family, friends and other important people in the lives of patients with bipolar disorder (BD) in remission on clinical course and suicidal behaviour in a multidimensional model. Method: The study conducted 100 patients diagnosed with BD-1(remission) according to DSM-5. All participants were administered Multidimensional Scale of Perceived Social Support(MSPSS), Young Mani Rating Scale(YMRS), Patient Health Questionnaire(PHQ-SADS,) Mood Disorder Diagnosis and Monitoring Form(SKIP-TURK), and Global Assessment of Functioning(GAF). Results: There was a significant negative correlation between the duration of untreated period (DUP), episodes length, illness duration, subthreshold depressive symptoms and their MSPSS scores (p < .05). There was a significant difference in the MSPSS total scores (not subscales) between the two groups divided according to suicidal behaviour (p = .03). There was a significant positive correlation between the GAF scores and the all MSPSS subscales scores. GAF and MSPSS friends_subscale scores were found to be predictors for suicide behaviour (respectively;Wald = 4.81, p = .028, OR = .93, %95 CI = 0.88-0.99;Wald = 4.71, p = .03, OR = 1.08, % 95 CI = 1,01-1,16). Conclusion: This study indicates that there are significant relationships between suicide attempts, DUP, episode length, subthreshold depressive symptoms, functioning and multidimensionally perceived social support. The fact that suicide attempt is related to total score and not to subscale scores of perceived social support shows the importance of the coexistence of all dimensions in the perceived social support area and emphasizes the necessity of examining these dimensions as a whole. Meanwhile, it is observed that the perceived friend_support along with functioning is associated with suicidal behaviour in BD.

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Section: Discussionmentioning

confidence: 92%

Bipolar disorder and perceived social support: relation with clinical course, and the role of suicidal behaviour

Kizilkurt

Giynas

Güleç

et al. 2019

Psychiatry and Clinical Psychopharmacology

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“…MHFA training offers more than just facts about mental health problems and myth-busting; it provides concrete steps and advice on how to approach and support a person with a mental health problem. This is important as avoidance and lack of understanding are key experiences of discrimination reported by those with common mental disorders [ 56 ]. Given low rates of treatment-seeking [ 57 ], and evidence that people are more likely to seek help if someone close to them suggests it [ 58 , 59 ], the support that people receive from those in their social networks is an important factor in improving mental health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

2018

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ObjectiveTo provide an up-to-date assessment of the effectiveness of the Mental Health First Aid (MHFA) training program on improving mental health knowledge, stigma and helping behaviour.DesignSystematic review and meta-analysis.MethodsA systematic search of electronic databases was conducted in October 2017 to identify randomised controlled trials or controlled trials of the MHFA program. Eligible trials were in adults, used any comparison condition, and assessed one or more of the following outcomes: mental health first aid knowledge; recognition of mental disorders; treatment knowledge; stigma and social distance; confidence in or intentions to provide mental health first aid; provision of mental health first aid; mental health of trainees or recipients of mental health first aid. Risk of bias was assessed and effect sizes (Cohen’s d) were pooled using a random effects model. Separate meta-analyses examined effects at post-training, up to 6 months post-training, and greater than 6 months post-training.ResultsA total of 18 trials (5936 participants) were included. Overall, effects were generally small-to-moderate post-training and up to 6 months later, with effects up to 12-months later unclear. MHFA training led to improved mental health first aid knowledge (ds 0.31–0.72), recognition of mental disorders (ds 0.22–0.52) and beliefs about effective treatments (ds 0.19–0.45). There were also small reductions in stigma (ds 0.08–0.14). Improvements were also observed in confidence in helping a person with a mental health problem (ds 0.21–0.58) and intentions to provide first aid (ds 0.26–0.75). There were small improvements in the amount of help provided to a person with a mental health problem at follow-up (d = 0.23) but changes in the quality of behaviours offered were unclear.ConclusionThis review supports the effectiveness of MHFA training in improving mental health literacy and appropriate support for those with mental health problems up to 6 months after training.Trial registrationPROSPERO (CRD42017060596)

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“…Ultimately, the question of whether MHFA training leads to better outcomes in the recipients of aid remains to be further explored. Although approaching a person, listening to their concerns and providing them with emotional support is perceived to be helpful [24], the full benefits from providing mental health first aid may only be realised when the recipient obtains professional help and receives an adequate course of treatment. It is known that many people do not receive a minimum dose of an evidence-based treatment when receiving mental health care, which remains a broader challenge to solve [25].…”

Section: Discussionmentioning

confidence: 99%

Does Mental Health First Aid training improve the mental health of aid recipients? The training for parents of teenagers randomised controlled trial

et al. 2019

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Background There is well-established evidence that Mental Health First Aid (MHFA) training improves knowledge about how to support someone developing a mental health problem, but less evidence that this support improves the mental health of the recipient of aid. This randomised controlled trial aimed to assess the long-term effects of MHFA training of parents on the mental health of their adolescent children. Methods 384 Australian parents of an adolescent aged 12–15 were randomised to receive either the 14-h Youth MHFA course or the 15-h Australian Red Cross Provide First Aid course. Outcomes were assessed at baseline, 1-year, and 2-year follow-up in both parents and adolescents. Primary outcomes were cases of adolescent mental health problems, and parental support towards their adolescent if they developed a mental health problem, rated by the parent and adolescent. Secondary outcomes included parent knowledge about mental health problems, intentions and confidence in supporting a young person, stigmatizing attitudes, and help-seeking for mental health problems. Results Parent and adolescent reports showed no significant difference between training groups in the proportion of cases of adolescents with a mental health problem over time (ps > .05). There was also no significant difference between training groups in the quality of parental support provided to their adolescent at 1- or 2-year follow-up (ps > .05). In contrast, some secondary outcomes showed benefits from the Youth MHFA training relative to the control, with increased parental knowledge about mental health problems at 1-year (d = 0.43) and 2-year follow-up (d = 0.26), and increased confidence to help a young person (d = 0.26) and intentions to provide effective support (d = 0.22) at 1-year follow-up. Conclusions The study showed some improvements in mental health literacy in training recipients, but could not detect changes in the mental health of adolescents and the support provided to them by their parents if they had a mental health problem. However, there was a lack of power to detect primary outcome effects and therefore the question of whether MHFA training leads to better outcomes in the recipients of aid remains to be further explored. Trial registration ACTRN12612000390886 , registered retrospectively 5/4/2012. Electronic supplementary material The online version of this article (10.1186/s12888-019-2085-8) contains supplementary material, which is available to authorized users.

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Discrimination and support from friends and family members experienced by people with mental health problems: findings from an Australian national survey

Cited by 27 publications

References 36 publications

Bipolar disorder and perceived social support: relation with clinical course, and the role of suicidal behaviour

Bipolar disorder and perceived social support: relation with clinical course, and the role of suicidal behaviour

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour

Does Mental Health First Aid training improve the mental health of aid recipients? The training for parents of teenagers randomised controlled trial

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