Publikation: The impact of school-based screening on service use in adolescents at risk for mental health problems and risk-behaviour
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Early detection and intervention can counteract mental disorders and risk behaviours among adolescents. However, help-seeking rates are low. School-based screenings are a promising tool to detect adolescents at risk for mental problems and to improve help-seeking behaviour. We assessed associations between the intervention “Screening by Professionals” (ProfScreen) and the use of mental health services and at-risk state at 12 month follow-up compared to a control group. School students (aged 15 ± 0.9 years) from 11 European countries participating in the “Saving and Empowering Young Lives in Europe” (SEYLE) study completed a self-report questionnaire on mental health problems and risk behaviours. ProfScreen students considered “at-risk” for mental illness or risk behaviour based on the screening were invited for a clinical interview with a mental health professional and, if necessary, referred for subsequent treatment. At follow-up, students completed another self-report, additionally reporting on service use. Of the total sample (N = 4,172), 61.9% were considered at-risk. 40.7% of the ProfScreen at-risk participants invited for the clinical interview attended the interview, and 10.1% of subsequently referred ProfScreen participants engaged in professional treatment. There were no differences between the ProfScreen and control group regarding follow-up service use and at-risk state. Attending the ProfScreen interview was positively associated with follow-up service use (OR = 1.783, 95% CI = 1.038–3.064), but had no effect on follow-up at-risk state. Service use rates of professional care as well as of the ProfScreen intervention itself were low. Future school-based interventions targeting help-seeking need to address barriers to intervention adherence.
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LUSTIG, Sophia, Michael KAESS, Nina SCHNYDER, Chantal MICHEL, Romuald BRUNNER, Alexandra TUBIANA, Jean‑Pierre KAHN, Marco SARCHIAPONE, Christina W. HOVEN, Shira BARZILAY, 2022. The impact of school-based screening on service use in adolescents at risk for mental health problems and risk-behaviour. In: European Child & Adolescent Psychiatry. Springer. 2022, 32, pp. 1745-1754. ISSN 1018-8827. eISSN 1435-165X. Available under: doi: 10.1007/s00787-022-01990-zBibTex
@article{Lustig2022-04-30impac-68342, year={2022}, doi={10.1007/s00787-022-01990-z}, title={The impact of school-based screening on service use in adolescents at risk for mental health problems and risk-behaviour}, volume={32}, issn={1018-8827}, journal={European Child & Adolescent Psychiatry}, pages={1745--1754}, author={Lustig, Sophia and Kaess, Michael and Schnyder, Nina and Michel, Chantal and Brunner, Romuald and Tubiana, Alexandra and Kahn, Jean‑Pierre and Sarchiapone, Marco and Hoven, Christina W. and Barzilay, Shira} }
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