Evidence map›Paper›PMID 34346736›Full record

SynthesisPsychiatric services (Washington, D.C.)2022

Mental Health First Aid: A Systematic Review of Trainee Behavior and Recipient Mental Health Outcomes.

Sarah Forthal, Karolina Sadowska, Kathleen M Pike, Manya Balachander, Kristina Jacobsson, Sabrina Hermosilla

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Evaluation of the Older Person Mental Health First Aid Course: Effects on Knowledge, Stigmatizing Attitudes, and Helping Behaviors.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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

6 authors at 1 institution in 1 country.

Sarah ForthalColumbia-WHO Center for Global Mental Health, Department of Psychiatry, Columbia University Irving Medical Center, New York City (Forthal, Sadowska, Pike, Balachander, Jacobsson); Institute for Social Research, University of Michigan, Ann Arbor (Hermosilla).ORCID 0000-0001-6599-2184
Karolina SadowskaColumbia-WHO Center for Global Mental Health, Department of Psychiatry, Columbia University Irving Medical Center, New York City (Forthal, Sadowska, Pike, Balachander, Jacobsson); Institute for Social Research, University of Michigan, Ann Arbor (Hermosilla).
Kathleen M PikeColumbia-WHO Center for Global Mental Health, Department of Psychiatry, Columbia University Irving Medical Center, New York City (Forthal, Sadowska, Pike, Balachander, Jacobsson); Institute for Social Research, University of Michigan, Ann Arbor (Hermosilla).
Manya BalachanderColumbia-WHO Center for Global Mental Health, Department of Psychiatry, Columbia University Irving Medical Center, New York City (Forthal, Sadowska, Pike, Balachander, Jacobsson); Institute for Social Research, University of Michigan, Ann Arbor (Hermosilla).
Kristina JacobssonColumbia-WHO Center for Global Mental Health, Department of Psychiatry, Columbia University Irving Medical Center, New York City (Forthal, Sadowska, Pike, Balachander, Jacobsson); Institute for Social Research, University of Michigan, Ann Arbor (Hermosilla).
Sabrina HermosillaColumbia-WHO Center for Global Mental Health, Department of Psychiatry, Columbia University Irving Medical Center, New York City (Forthal, Sadowska, Pike, Balachander, Jacobsson); Institute for Social Research, University of Michigan, Ann Arbor (Hermosilla).
Institute for Social Research · NO

Funding

Understanding the Connections among Genes, Environment, Family Processes, and Mental HealthR01MH110872 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AXINN, WILLIAM G., SMOLLER, JORDAN W · 2017 to 2020
$3.5M
NIMH NIH HHS R01 MH110872
6 · The paper itself

Abstract

objectiveMental Health First Aid (MHFA) is a globally disseminated course that trains members of the public to recognize and respond to mental health issues in their communities. Although substantial evidence suggests that MHFA training is associated with positive changes in knowledge, attitudes, and behavioral intent, little is known about how MHFA trainee-delivered aid supports mental health needs. This systematic review sought to summarize the extant research evaluating MHFA trainees' helping behaviors and the impacts of these behaviors on people experiencing a mental health problem (i.e., recipients).

methodsElectronic databases were searched for MHFA evaluations published before or on March 9, 2021. Studies that evaluated at least one outcome related to trainee helping behavior or recipient mental health were included in the synthesis. Outcomes were organized into three categories: trainee use of MHFA skills, helpfulness of trainees' actions, and recipients' mental health. Only studies that compared pre- and posttraining outcomes, included a control group, and directly evaluated MHFA were used to assess its efficacy.

resultsThe search identified 31 studies, nine of which met criteria to assess MHFA efficacy. The findings of the nine studies indicated that MHFA had mixed effects on trainees using the skills taught in the course and no effects on the helpfulness of trainees' actions or on recipient mental health.

conclusionsThe findings indicate that there is insufficient current evidence that MHFA improves the helping behaviors of trainees or the mental health of those receiving helping behaviors. They highlight a crucial research gap that should be prioritized as MHFA continues to grow in popularity.

Indexed as

First AidMental DisordersControl GroupsDatabases, FactualHumansMental HealthOutcome Assessment, Health CareCommunity mental health servicesCrisis interventionProgram evaluationPublic health

Identifiers

PMID34346736
PMCPMC8814050
OpenAlexW3189934895

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.