The impact of psychological problems and adverse life events on suicidal ideation among adolescents using nationwide data of a school-based mental health screening test in Korea

2018 ◽  
Vol 27 (10) ◽  
pp. 1361-1372 ◽  
Author(s):  
Dayoung Lee ◽  
Song Jung ◽  
Seongjun Park ◽  
Hyun Ju Hong
2020 ◽  
Author(s):  
Nicholas C. Jacobson ◽  
Elad Yom-Tov ◽  
Damien Lekkas ◽  
Michael Heinz ◽  
Lili Liu ◽  
...  

Introduction: Most people with psychiatric illnesses do not receive treatment for almost a decade after disorder onset. Online mental health screens reflect one mechanism designed to shorten this lag in help-seeking, yet there has been limited research on the effectiveness of screening tools in naturalistic settings. Material and methods: We examined a cohort of persons directed to a mental health screening tool via the Bing search engine (n=126,060). We evaluated the impact of tool content on later searches for mental health self-references, self-diagnosis, care seeking, psychoactive medications, suicidal ideation, and suicidal intent. Website characteristics were evaluated by pairs of independent raters to ascertain screen type and content. These included the presence/absence of a suggestive diagnosis, a message on interpretability, as well as referrals to digital treatments, in-person treatments, and crisis services. Results: Using machine learning models, the results suggested that screen content predicted later searches with mental health self-references (AUC =0·73), mental health self-diagnosis (AUC = 0·69), mental health care seeking (AUC = 0·61), psychoactive medications (AUC = 0·55), suicidal ideation (AUC = 0·58), and suicidal intent (AUC = 0·60). Cox-proportional hazards models suggested individuals utilizing tools with in-person care referral were significantly more likely to subsequently search for methods to actively end their life (HR = 1·727, p = 0·007). Discussion: Online screens may influence help-seeking behavior, suicidal ideation, and suicidal intent. Websites with referrals to in-person treatments could put persons at greater risk of active suicidal intent. Further evaluation using large-scale randomized controlled trials is needed.


2004 ◽  
Vol 6 (3) ◽  
pp. 155-166 ◽  
Author(s):  
Pinka Chatterji ◽  
Christine M. Caffray ◽  
Maura Crowe ◽  
Linda Freeman ◽  
Peter Jensen

2021 ◽  
pp. 105984052110566
Author(s):  
Ellen M. McCabe ◽  
Beth E. Jameson ◽  
Shiela M. Strauss

Schools’ health screenings can identify students’ missed health concerns. Data from the 2016 School Health Policies and Practices Study were used to determine the proportion of U.S. school districts with physical and mental health screening policies and the proportion that arrange off-campus mental health services. We also examined differences between districts with and without mental health screening policies regarding having physical health screening policies, patterns of these policies, and off-campus mental health service arrangements. Eleven percent of districts had no policies on any of the four physical health screenings assessed, and 87% lacked policies on mental health screenings, the latter especially concerning considering the impact of COVID-19. Districts with policies on mental health screenings were significantly more likely to have body mass index ( p < .01) and oral health ( p < .001) screening policies, and to arrange for off-campus case management ( p < .001), family counseling ( p < .05), group counseling ( p < .01), self-help ( p < .05) and intake evaluation ( p < .05).


2020 ◽  
pp. 019874292098259
Author(s):  
Stephanie A. Moore ◽  
Erin Dowdy ◽  
Tameisha Hinton ◽  
Christine DiStefano ◽  
Fred W. Greer

Universal mental health screening is a proactive approach to identify students who may benefit from prevention or early intervention services. Despite known benefits, few schools are engaging in screening efforts and it is critical to examine factors that may impede or enhance implementation. Following implementation of a universal screening program across five preschools and elementary schools, this study investigated the attitudes of teachers ( N = 40) and parents ( N = 330) and found strong agreement among stakeholders about the acceptability and appropriateness of universal mental health screening. Teachers and parents expressed less willingness to regularly complete screening forms, yet teachers reported that the Behavior Assessment System for Children–Third Edition: Behavioral Emotional Screening System was a usable screening tool. Implications and future directions to enhance implementation efforts are discussed.


2021 ◽  
Author(s):  
Merrian Brooks ◽  
Bathusi Phetogo ◽  
Makhetha Monyane-Pheko ◽  
Onkemetse Phoi ◽  
Ontibile Tshume ◽  
...  

<p><b><u>Introduction</u></b>: Youth living with HIV (YLWH) experience higher rates of mental illness than their peers. Holistic care for YLWH may involve adopting mental health screening programs into comprehensive HIV care to help identify and address mental health concerns in young people. We explored various contexts, procedures, and safety measures throughout the integration and maintenance of a mental health screening program for adolescents attending an HIV referral clinic in Gaborone, Botswana. <b><u>Methods:</u></b> Implementation goals included a safety goal of 100% appropriate referral rate for emergency cases, and a screening goal of 70% of the approximately 1100 adolescent and young adults who were clients of the clinic at least once in the one year review period. Frequent meetings with the behavioral health team and relevant clinic staff were conducted to determine when, where and how to screen the clients. Referral procedures and an emergency protocol for certain “red flag” behaviors was developed to facilitate a warm handing off to trained mental health professionals along with a backup for non-mental health clinicians to assist in the absence of the PSS team. Every other week severe score case reports were produced by the screening team to prevent loss to follow up of suicidal ideation, hallucination or very high scores. Mild to moderate cases were referred to clinicians trained in brief intervention therapy. <b><u>Results:</u></b> Of the 846 clients screened, 191 (19.2%) had severe scores. Eight (4.1%) of these 191 severe case scores were either not immediately reported, or were inappropriately referred. Two of those eight had suicidal ideation and were not immediately referred but were appropriately followed up after being identified during bimonthly implementation team meetings. Identifying a specific trained person tasked with facilitating the screening was found to be most helpful. As was training the clinicians in methods to respond to mild to moderate results, particularly during unavailability of PSS team members. A clear and detailed protocol for severe cases was also noted as a key element in keeping the screening program safe. <b><u>Conclusions:</u></b> Establishing a universal screening program in an LMIC is possible with the consideration of various contextual factors.<u></u></p>


2002 ◽  
Author(s):  
Roy Lubit ◽  
Wendy Kuppenheimer ◽  
Mary Courtney

Author(s):  
Heather Burt ◽  
Quynh Doan ◽  
Taryne Landry ◽  
Bruce Wright ◽  
Kenneth W. McKinley

Author(s):  
John R. Burns ◽  
Ronald M. Rapee

Abstract In light of concerning evidence that many young people with mental disorders are not receiving appropriate mental health intervention, school-based mental health screening has been advocated as one way to improve identification of at-risk youth. Despite having much promise, universal screening in schools remains a relatively uncommon practice internationally. Various barriers that deter school psychologists and counsellors from screening have been identified, including lack of resourcing to implement screening, lack of knowledge about the mechanics of how to carry out a screening program, and concern about how to manage the anticipated increased workload generated by following up identified students. In this practice-based paper we discuss a four-stage process that guides school psychologists and counsellors in the establishment of a school-based screening program, with specific reference to overcoming perceived barriers.


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