Economic Evaluations of Public Health Interventions to Improve Mental Health and Prevent Suicidal Thoughts and Behaviours: A Systematic Literature Review

Feldman, Inna; Gebreslassie, Mihretab; Sampaio, Filipa; Nystrand, Camilla; Ssegonja, Richard

doi:10.1007/s10488-020-01072-9

Cited by 8 publications

(11 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the number of patients in psychiatric special health care among children has increased by almost 80% during the last 10 years (32), despite the limitation that specialised health care is only available for severe or prolonged symptoms (33). Public health interventions aiming to improve the mental health of children and adolescent are cost‐effective (34). Without these interventions, children and adolescents may be directed to the incorrect place to obtain help.…”

Section: Introductionmentioning

confidence: 99%

Good interaction skills are not enough – competency in mental health issues in child health clinics and school health services

Putkuri

Salminen

Axelin

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

Background Mental health problems among children and adolescents are a worldwide issue of concern. Health professionals who have sufficient competency in mental health issues are crucial for responding to this situation. Aim The aim of the study was to describe the competency in mental health issues required by the work of public health nurses in child health clinics and school health services. Methods This qualitative, descriptive study was conducted with focus group interviews in March 2018. The sample consisted of public health nurses (n = 24) who were working in child health clinics or school health services in Finland. The data were analysed using inductive and deductive content analysis. Results The competency in mental health issues required by the work of public health nurses was formulated from the identified strengths and topics required in continuing education. In total, 18 competencies were identified as covering mental health promotion, as well as the alleviation and treatment of symptoms and disorders. Intuitive and interpersonal competency was identified as the main strength of public health nurses. The theoretical and evidence‐based competency regarding mental health issues was identified as a main topic needed in continuing education. Conclusion Public health nurses in child health clinics and school health services need competency in mental health issues for the promotion of mental health, the alleviation of symptoms and treatment of disorders. The results indicate that good interactional skills are not enough: the current competency of public health nurses in mental health issues is insufficient and does not meet the requirements of the work. The results were consistent with existing knowledge, but also provide a more comprehensive and precise insight into the current situation. In the future, the results should be verified with more studies. There is also a need for intervention studies aiming to improve competency in mental health issues.

show abstract

Section: Introductionmentioning

confidence: 99%

Good interaction skills are not enough – competency in mental health issues in child health clinics and school health services

Putkuri

Salminen

Axelin

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“…The WHO urges media professionals to be cautious when it comes to the method of suicide because it may trigger copycat behavior, especially some stories can spread like a wild fire on social media. In our study, the guideline was violated when details of Hannah's suicide plans played out on the screen, including picking up razor blades from her parents' drugstore in Episode 13.…”

Section: Plos Onementioning

confidence: 81%

“…Based on a 6:1 benefit-cost ratio, they recommended increasing investment in prevention efforts such as medical and counseling services [ 20 ]. Similarly, Feldman and colleagues suggested that public health initiatives need to be cost-effective yet uncompromising of high quality to improve mental health and prevent suicides [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…The causes of suicide are complex. Years of research have shown that childhood trauma, genetic vulnerability, psychological distress, mental health disorders, bullying, substance use, sexual violence, and firearm access are among the most salient suicide risk factors [9][10][11][12][13][14][15][16]. Suicide-related thoughts and behaviors are emotionally draining for both the individual themselves and their loved ones [17].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Popular media as a double-edged sword: An entertainment narrative analysis of the controversial Netflix series 13 Reasons Why

Wang

Parris

2021

PLoS ONE

View full text Add to dashboard Cite

13 Reasons Why is a Netflix original series adapted from Jay Asher’s 2007 young adult novel with the same title. Season 1 premiered on March 31, 2017 and featured the sensitive issue of teen suicide along with bullying, substance use, depression, and sexual assault. Unlike the typical teen dramas on popular streaming platforms, this show was created not only for entertainment, but also to stimulate conversations about taboo topics that people often shy away from. However, it also caused significant controversy, especially criticism around the main character Hannah’s suicide scene. More than three years into the initial controversy and at least two dozen scholarly publications later, this study is the first to examine the entertainment narrative content of 13 Reasons Why Season 1 to better understand how these health and social issues were portrayed in the show, what specific examples we could identify as potential behavioral modeling, and to what degree it complied with the 2017 WHO guidelines for media professionals. We used the framing theory and social cognitive theory in communication research and media studies as our guiding conceptual frameworks and a narrative analysis approach to investigate a total of 660 cut scenes in all 13 episodes. Our findings provided empirical evidence, along with contextual information and detailed examples, to demonstrate that a popular entertainment program like the Netflix series 13 Reasons Why serves as a double-edged sword. The production team’s good will and due diligence are commendable. Yet, additional steps can be taken in the future to effectively promote professional resources and reduce viewers’ risks, especially the most vulnerable groups.

show abstract

“…This review is the first to focus on model-based economic evaluations of mental health prevention. Previous systematic reviews [ 9 , 77 , 78 ] commonly addressed trial-based economic evaluation studies, examined short-term costs and consequences and did not reflect real-life practice. Thus, our search strategy was more sensitive in detecting model-based economic evaluations.…”

Section: Discussionmentioning

confidence: 99%

Modelling in economic evaluation of mental health prevention: current status and quality of studies

Thu

Huong

Anh

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background The present study aimed to identify and critically appraise the quality of model-based economic evaluation studies in mental health prevention. Methods A systematic search was performed on MEDLINE, EMBASE, EconLit, PsycINFO, and Web of Science. Two reviewers independently screened for eligible records using predefined criteria and extracted data using a pre-piloted data extraction form. The 61-item Philips Checklist was used to critically appraise the studies. Systematic review registration number: CRD42020184519. Results Forty-nine studies were eligible to be included. Thirty studies (61.2%) were published in 2015–2021. Forty-seven studies were conducted for higher-income countries. There were mainly cost-utility analyses (n = 31) with the dominant primary outcome of quality-adjusted life year. The most common model was Markov (n = 26). Most of the studies were conducted from a societal or health care perspective (n = 37). Only ten models used a 50-year time horizon (n = 2) or lifetime horizon (n = 8). A wide range of mental health prevention strategies was evaluated with the dominance of selective/indicate strategy and focusing on common mental health problems (e.g., depression, suicide). The percentage of the Philip checkilst’s criteria fulfilled by included studies was 69.3% on average and ranged from 43.3 to 90%. Among three domains of the Philip checklist, criteria on the model structure were fulfilled the most (72.1% on average, ranging from 50.0% to 91.7%), followed by the data domain (69.5% on average, ranging from 28.9% to 94.0%) and the consistency domain (54.6% on average, ranging from 20.0% to 100%). The practice of identification of ‘relevant’ evidence to inform model structure and inputs was inadequately performed. The model validation practice was rarely reported. Conclusions There is an increasing number of model-based economic evaluations of mental health prevention available to decision-makers, but evidence has been limited to the higher-income countries and the short-term horizon. Despite a high level of heterogeneity in study scope and model structure among included studies, almost all mental health prevention interventions were either cost-saving or cost-effective. Future models should make efforts to conduct in the low-resource context setting, expand the time horizon, improve the evidence identification to inform model structure and inputs, and promote the practice of model validation.

show abstract

Economic Evaluations of Public Health Interventions to Improve Mental Health and Prevent Suicidal Thoughts and Behaviours: A Systematic Literature Review

Cited by 8 publications

References 53 publications

Good interaction skills are not enough – competency in mental health issues in child health clinics and school health services

Good interaction skills are not enough – competency in mental health issues in child health clinics and school health services

Popular media as a double-edged sword: An entertainment narrative analysis of the controversial Netflix series 13 Reasons Why

Modelling in economic evaluation of mental health prevention: current status and quality of studies

Contact Info

Product

Resources

About