Evidence map›Paper›PMID 31317245›Full record

ArticleSocial psychiatry and psychiatric epidemiology2019

Depressive symptoms, suicidal ideation, and mental health care-seeking in central Mozambique.

Sheldon Halsted, Kristjana H Ásbjörnsdóttir, Bradley H Wagenaar, Vasco Cumbe, Orvalho Augusto, Sarah Gimbel, Nelia Manaca, João Luis Manuel, Kenneth Sherr, with input from the INCOMAS Study Team

Open access · greenAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 42 citations in OpenAlex.

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  9. Seroprevalence and Risk Factors forResearch and reports in tropical medicine · 2025
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  15. Examination of the Factor Structure of Psychopathology in a Mozambican Sample.Clinical psychological science : a journal of the Association for Psychological Science · 2023
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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

10 authors at 3 institutions in 2 countries.

Sheldon HalstedDepartment of Global Health, University of Washington, Seattle, WA, USA. sheldon.halsted@gmail.com.ORCID http://orcid.org/0000-0002-1970-3959
Kristjana H ÁsbjörnsdóttirDepartment of Global Health, University of Washington, Seattle, WA, USA.
Bradley H WagenaarDepartment of Global Health, University of Washington, Seattle, WA, USA.
Vasco CumbeSofala Provincial Health Directorate, Department of Mental Health, Ministry of Health, Beira, Mozambique.
Orvalho AugustoDepartment of Global Health, University of Washington, Seattle, WA, USA.
Sarah GimbelDepartment of Global Health, University of Washington, Seattle, WA, USA.
Nelia ManacaHealth Alliance International, Beira, Mozambique.
João Luis ManuelBeira Operations Research Center (Centro de Investigação Operacional da Beira, CIOB), Beira, Mozambique.
Kenneth SherrDepartment of Global Health, University of Washington, Seattle, WA, USA.
with input from the INCOMAS Study Team
University of Washington · USEduardo Mondlane University · MZInternational Centre for Reproductive Health · MZ

Funding

StepWell: Stepped Care Mental Health and Substance Use Telehealth Services for COVID-19 Affected PatientsU19MH113203 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI OQUENDO, MARIA A, WAINBERG, MILTON L · 2017 to 2021
$5.7M
PALOP MENTAL HEALTH IMPLEMENTATION RESEARCH TRAININGD43TW009675 · FIC · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Lidia Gouveia, Maria A Oquendo · 2014 to 2026
$3.2M
Strengthening the identification and treatment of depression in primary care in MozambiqueK01MH110599 · NIMH · UNIVERSITY OF WASHINGTON · PI WAGENAAR, BRADLEY · 2017 to 2020
$633k
FIC NIH HHS D43 TW009675NIMH NIH HHS K01 MH110599NIMH NIH HHS U19 MH113203
6 · The paper itself

Abstract

purposeThere is scant research on depressive symptoms (DS), suicidal ideation (SI), and mental health care-seeking in Mozambique.

methodsGeneralized estimating equations were used to assess factors associated with DS, SI, and mental health care-seeking among 3080 individuals interviewed in a representative household survey in Sofala and Manica provinces, Mozambique.

results19% (CI 17-21%) of respondents reported DS in the past year and 17% (CI 15-18%) lifetime SI. Overall, only 10% (CI 8-11%) of respondents ever sought any care for mental illness, though 26% (CI 23-29%) of those reporting DS and/or SI sought care. 90% of those who sought care for DS received treatment; however, only 46% of those who sought care for SI received treatment. Factors associated with DS and SI include: female gender, divorced/separated, widowed, and > 55 years old. Respondents in the bottom wealth quintile reported lower DS, while those in upper wealth quintiles reported higher prevalence of SI. Individuals with DS or SI had significantly elevated measures of disability-especially in doing household chores, work/school activities, standing for long periods, and walking long distances. Factors associated with care-seeking include: female gender, rural residence, divorced/separated, and > 45 years old. Individuals in lower wealth quintiles and with no religious affiliation had lower odds of seeking care.

conclusionsDS and SI are prevalent in central Mozambique and treatment gaps are high (68% and 89%, respectively). An urgent need exists for demand- and supply-side interventions to optimize the delivery of comprehensive community-based mental healthcare in Mozambique.

Indexed as

Suicidal IdeationAdultDepressionFemaleHumansMaleMental DisordersMental HealthMiddle AgedMozambiquePatient Acceptance of Health CarePrevalenceRural PopulationCare-seekingDepressive symptomsMental healthMozambiqueSuicidal ideation

Identifiers

PMID31317245
PMCPMC7050264
OpenAlexW2957980703

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.