Evidence map›Paper›PMID 28367719›Full record

ArticleThe International journal of social psychiatry2017

High burden of mental illness and low utilization of care among school-going youth in Central Haiti: A window into the youth mental health treatment gap in a low-income country.

Eddy Eustache, Margaret E Gerbasi, Mary C Smith Fawzi, J Reginald Fils-Aimé, Jennifer Severe, Giuseppe J Raviola, Rupinder Legha, Sarah Darghouth, David J Grelotti, Tatiana Thérosmé and 4 more

Open access · greenAbstract read
In one paragraph

Article in The International journal of social psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Transcultural psychiatry · 2024
    Article
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  6. Review
  7. Article
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  10. Factors that influence access to mental health services in South-Eastern Europe.International journal of mental health systems · 2018
    Article
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  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Eddy Eustache1 Mental Health and Psychosocial Services, Zanmi Lasante, Mirebalais, Haiti.
Margaret E Gerbasi2 Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Mary C Smith Fawzi2 Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
J Reginald Fils-Aimé1 Mental Health and Psychosocial Services, Zanmi Lasante, Mirebalais, Haiti.
Jennifer Severe2 Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Giuseppe J Raviola2 Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Rupinder Legha6 Department of Psychiatry, University of California, Los Angeles, Los Angeles, CA, USA.
Sarah Darghouth7 Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
David J Grelotti8 Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Tatiana Thérosmé1 Mental Health and Psychosocial Services, Zanmi Lasante, Mirebalais, Haiti.
Ermaze L Pierre1 Mental Health and Psychosocial Services, Zanmi Lasante, Mirebalais, Haiti.
Emmeline Affricot1 Mental Health and Psychosocial Services, Zanmi Lasante, Mirebalais, Haiti.
Yoldie Alcindor1 Mental Health and Psychosocial Services, Zanmi Lasante, Mirebalais, Haiti.
Anne E Becker2 Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Harvard Global Health Institute · USMassachusetts General Hospital · USBoston Children's Hospital · USTufts University · USUniversity of California, Los Angeles · USUniversity of California, San Diego · US

Funding

Developing research capacity for mental health interventions for youth in HaitiR21MH093298 · NIMH · HARVARD MEDICAL SCHOOL · PI BECKER, ANNE E, EUSTACHE, EDDY · 2011 to 2012
$294k
NIMH NIH HHS R21 MH093298
6 · The paper itself

Abstract

backgroundThe mental health treatment gap for youth in low- and middle-income countries (LMICs) is substantial; strategies for redress are urgently needed to mitigate the serious health and social consequences of untreated mental illness in youth.

aimsTo estimate the burden of major depressive episode (MDE) and posttraumatic stress disorder (PTSD) as well as utilization of care among Haitian youth in order to describe the mental health treatment gap in a LMIC setting.

methodsWe estimated the point prevalence of MDE, PTSD, and subthreshold variants in a school-based sample of youth ( n = 120, ages 18-22 years) using a modified Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID)-based interview and examined treatment utilization among those receiving one of these diagnoses. We assessed additional psychopathology with self-report measures to examine validity of study diagnostic assignments.

resultsThe combined prevalence of full-syndrome or subthreshold MDE or PTSD was high (36.7%). A large majority of affected individuals (88.6%) had accessed no mental health services in the health sector, and 36.4% had accessed no care of any kind in either the health or folk sectors in the past year.

conclusionFindings demonstrate a high mental health burden among Haiti's youth and that many youth with MDE and PTSD are not accessing mental health care.

Indexed as

AdolescentCost of IllnessCross-Sectional StudiesDiagnostic and Statistical Manual of Mental DisordersFemaleHaitiHumansMajor Depressive DisorderMaleMental HealthPatient Acceptance of Health CarePilot ProjectsPovertyPsychiatric Status Rating ScalesPsychotherapySchoolsHaitilow-income countriesmental health burdenMental health treatment gapyouth

Identifiers

PMID28367719
PMCPMC5967385
OpenAlexW2604767871

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.