Evidence map›Paper›PMID 39665478›Full record

ArticleThe International journal of social psychiatry2025

The state of mental health in Greece: An international comparative analysis using data from the Global Mental Health Countdown 2030.

Konstantinos Kotsis, Lauro Estivalete Marchionatti, André Simioni, Julia Luiza Schafer, Sara Evans-Lacko, Shekhar Saxena, Sarah Kline, Antonis Kousoulis, Anastasia Koumoula, Giovanni Abrahão Salum

Abstract readComparative Study
In one paragraph

Article in The International journal of social psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
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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.

Konstantinos KotsisChild and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.ORCID 0000-0001-9830-1706
Lauro Estivalete MarchionattiChild and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.ORCID 0000-0003-4222-868X
André SimioniChild and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.
Julia Luiza SchaferChild and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.
Sara Evans-LackoCare Policy and Evaluation Centre, London School of Economics and Political Science, UK.
Shekhar SaxenaDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA.
Sarah KlineUnited for Global Mental Health, London, UK.
Antonis KousoulisUnited for Global Mental Health, London, UK.
Anastasia KoumoulaChild and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.
Giovanni Abrahão SalumChild and Adolescent Mental Health Initiative (CAMHI), Stavros Niarchos Foundation & Child Mind Institute, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective mental health systems depend on the functioning of a variety of factors that can be systematically monitored across countries. Macro-level assessments are needed to identify potential areas for improvement in the health sector, particularly in countries that face significant access barriers such as Greece.

aimTo analyze Greece's mental health-related indicators in comparison to countries with similar socioeconomic contexts and geography and identify priority areas for the national mental health system.

methodsData was sourced from the Global Mental Health Countdown 2030, an initiative gathering 48 indicators from 193 countries, classifying metrics into four domains: mental health system performance, determinants of mental health, factors influencing the demand for care, and wellbeing. We analyzed 39 indicators available for Greece to perform a comparative analysis with three groups of countries (27 European Union, 55 high-income, and 52 upper-middle income nations). We employed content analysis to organize mental health system indicators into a framework to inform policy and practice.

resultsGreece exhibited low performance in several indicators related to mental health provision, with four metrics falling below the 12.5th centile for all comparative groups ('interventions in primary care', 'policy implementation', 'promotion and prevention', and 'frequency of collection of data'). A content-analysis framework grouped indicators into categories related to the mental health system, with low-scoring metrics clustering around 'policy and planning', 'affordability of care', 'coordination of services', and 'data collection and quality assessment'.

conclusionThis analysis provides a contextualized overview of Greece's mental health system, identifying areas for improvement based on a panel of evidence-based indicators. Priority policy actions should focus on enhancing mental health insurance coverage and freely-available mental health services, organizing provision into a stepped-care and coordinated service network, and establishing systematic data monitoring mechanisms with unified electronic registers.

Indexed as

Mental DisordersMental HealthMental Health ServicesGlobal HealthGreeceHealth Services AccessibilityHumansGlobal mental healthGreecehealth systempublic health

Identifiers

PMID39665478
PMCPMC12171043

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Registered trials

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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.