Risk-behaviour screening for identifying adolescents with mental health problems in Europe

Michael Kaess; Romuald Brunner; Peter Parzer; Vladimir Carli; Alan Apter; Judit A. Balazs; Julio Bobes; Horia G. Coman; Doina Cosman; Padraig Cotter; Tony Durkee; Luca Farkas; Dana Feldman; Christian Haring; Miriam Iosue; Jean Pierre Kahn; Helen Keeley; Tina Podlogar; Vita Postuvan; Franz Resch; Pilar A. Sáiz; Merike Sisask; Alexandra Tubiana; Peeter Värnik; Marco Sarchiapone; Christina W. Hoven; Danuta Wasserman

doi:10.1007/s00787-013-0490-y

Risk-behaviour screening for identifying adolescents with mental health problems in Europe

Michael Kaess, Romuald Brunner, Peter Parzer, Vladimir Carli, Alan Apter, Judit A. Balazs, Julio Bobes, Horia G. Coman, Doina Cosman, Padraig Cotter, Tony Durkee, Luca Farkas, Dana Feldman, Christian Haring, Miriam Iosue, Jean Pierre Kahn, Helen Keeley, Tina Podlogar, Vita Postuvan, Franz ReschPilar A. Sáiz, Merike Sisask, Alexandra Tubiana, Peeter Värnik, Marco Sarchiapone, Christina W. Hoven, Danuta Wasserman

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

Indicated prevention of mental illness is an important public health concern among youth. The aim of this study was to establish a European school-based professional screening among adolescents, which included variables on both a broad range of risk-behaviours and psychopathology; and to investigate the indicative value of adolescent risk-behaviour and self-reported psychopathology on help-seeking and psychological problems that required subsequent mental healthcare. A two-stage professional screening approach was developed and performed within the multi-centre study "Saving and Empowering Young Lives in Europe" (SEYLE). The first stage of screening comprised a self-report questionnaire on a representative sample of 3,070 adolescents from 11 European countries. In the second stage, students deemed at-risk for mental health problems were evaluated using a semi-structured clinical interview performed by healthcare professionals. 61 % of participants (n = 1,865) were identified as being at-risk in stage one. In stage two, 384 participants (12.5 % of the original sample) were found to require subsequent mental healthcare during semi-structured, clinical assessment. Among those, 18.5 % of pupils were identified due to screening for psychopathology alone; 29.4 % due to screening for risk-behaviours alone; and 52.1 % by a combination of both. Young age and peer victimization increased help-seeking, while very low body mass index, depression, suicidal behaviour and substance abuse were the best predictors of referral to mental healthcare. Screening of risk-behaviours significantly increased the number of detected students requiring subsequent mental healthcare. Screening of risk-behaviours added significant value in identifying the significant amount of European pupils with mental health problems. Therefore, attention to adolescent risk-behaviours in addition to psychopathology is critical in facilitating prevention and early intervention. Identifying factors that increase compliance to clinical interviews are crucial in improving screening procedures.

Original language	English
Pages (from-to)	611-620
Number of pages	10
Journal	European Child and Adolescent Psychiatry
Volume	23
Issue number	7
DOIs	https://doi.org/10.1007/s00787-013-0490-y
State	Published - Jul 2014
Externally published	Yes

Bibliographical note

Funding Information:
The SEYLE project is supported by the European Union through the Seventh Framework Program (FP7), Grant agreement number HEALTH-F2-2009-223091. SEYLE Project Leader and Principal Investigator is Professor in Psychiatry and Suicidology Danuta Wasserman, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) at Karolinska Institutet (KI), Stockholm, Sweden. The Executive Committee comprises Professor Danuta Wasserman and Senior Lecturer Vladimir Carli, both from NASP, KI, Sweden; Professor Marco Sarchiapone from the University of Molise, Italy; Professor Christina W. Hoven, and Anthropologist Camilla Wasserman, both from the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, US; the SEYLE Consortium comprises sites in twelve European countries. Site leaders are Danuta Wasserman (NASP, Coordinating Centre), Christian Haring (Austria), Airi Varnik (Estonia), Jean-Pierre Kahn (France), Romuald Brunner (Germany), Judit Balazs (Hungary), Paul Corcoran (Ireland), Alan Apter (Israel), Marco Sarchiapone (Italy), Doina Cosman (Romania), Vita Postuvan (Slovenia) and Julio Bobes (Spain). Special thanks regarding this manuscript go to Katja Klug, Gloria Fischer and Lisa Göbelbecker from the University of Heidelberg, Germany, for their extensive help in the development and evaluation of the professional screening procedure during the SEYLE study.

Funding

The SEYLE project is supported by the European Union through the Seventh Framework Program (FP7), Grant agreement number HEALTH-F2-2009-223091. SEYLE Project Leader and Principal Investigator is Professor in Psychiatry and Suicidology Danuta Wasserman, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) at Karolinska Institutet (KI), Stockholm, Sweden. The Executive Committee comprises Professor Danuta Wasserman and Senior Lecturer Vladimir Carli, both from NASP, KI, Sweden; Professor Marco Sarchiapone from the University of Molise, Italy; Professor Christina W. Hoven, and Anthropologist Camilla Wasserman, both from the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, US; the SEYLE Consortium comprises sites in twelve European countries. Site leaders are Danuta Wasserman (NASP, Coordinating Centre), Christian Haring (Austria), Airi Varnik (Estonia), Jean-Pierre Kahn (France), Romuald Brunner (Germany), Judit Balazs (Hungary), Paul Corcoran (Ireland), Alan Apter (Israel), Marco Sarchiapone (Italy), Doina Cosman (Romania), Vita Postuvan (Slovenia) and Julio Bobes (Spain). Special thanks regarding this manuscript go to Katja Klug, Gloria Fischer and Lisa Göbelbecker from the University of Heidelberg, Germany, for their extensive help in the development and evaluation of the professional screening procedure during the SEYLE study.

Funders	Funder number
Seventh Framework Programme	HEALTH-F2-2009-223091
European Commission
Seventh Framework Programme

Keywords

Adolescence
Depression
Health-care
Help-seeking
Mental health
Peer victimization
Psychopathology
Risk-behaviour
SEYLE
Screening
Self-injury
Substance abuse

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s00787-013-0490-y

Cite this

Kaess, M., Brunner, R., Parzer, P., Carli, V., Apter, A., Balazs, J. A., Bobes, J., Coman, H. G., Cosman, D., Cotter, P., Durkee, T., Farkas, L., Feldman, D., Haring, C., Iosue, M., Kahn, J. P., Keeley, H., Podlogar, T., Postuvan, V., ... Wasserman, D. (2014). Risk-behaviour screening for identifying adolescents with mental health problems in Europe. European Child and Adolescent Psychiatry, 23(7), 611-620. https://doi.org/10.1007/s00787-013-0490-y

@article{ffe5d1db40454e3cbee71fa0c614fad4,

title = "Risk-behaviour screening for identifying adolescents with mental health problems in Europe",

abstract = "Indicated prevention of mental illness is an important public health concern among youth. The aim of this study was to establish a European school-based professional screening among adolescents, which included variables on both a broad range of risk-behaviours and psychopathology; and to investigate the indicative value of adolescent risk-behaviour and self-reported psychopathology on help-seeking and psychological problems that required subsequent mental healthcare. A two-stage professional screening approach was developed and performed within the multi-centre study {"}Saving and Empowering Young Lives in Europe{"} (SEYLE). The first stage of screening comprised a self-report questionnaire on a representative sample of 3,070 adolescents from 11 European countries. In the second stage, students deemed at-risk for mental health problems were evaluated using a semi-structured clinical interview performed by healthcare professionals. 61 % of participants (n = 1,865) were identified as being at-risk in stage one. In stage two, 384 participants (12.5 % of the original sample) were found to require subsequent mental healthcare during semi-structured, clinical assessment. Among those, 18.5 % of pupils were identified due to screening for psychopathology alone; 29.4 % due to screening for risk-behaviours alone; and 52.1 % by a combination of both. Young age and peer victimization increased help-seeking, while very low body mass index, depression, suicidal behaviour and substance abuse were the best predictors of referral to mental healthcare. Screening of risk-behaviours significantly increased the number of detected students requiring subsequent mental healthcare. Screening of risk-behaviours added significant value in identifying the significant amount of European pupils with mental health problems. Therefore, attention to adolescent risk-behaviours in addition to psychopathology is critical in facilitating prevention and early intervention. Identifying factors that increase compliance to clinical interviews are crucial in improving screening procedures.",

keywords = "Adolescence, Depression, Health-care, Help-seeking, Mental health, Peer victimization, Psychopathology, Risk-behaviour, SEYLE, Screening, Self-injury, Substance abuse",

author = "Michael Kaess and Romuald Brunner and Peter Parzer and Vladimir Carli and Alan Apter and Balazs, {Judit A.} and Julio Bobes and Coman, {Horia G.} and Doina Cosman and Padraig Cotter and Tony Durkee and Luca Farkas and Dana Feldman and Christian Haring and Miriam Iosue and Kahn, {Jean Pierre} and Helen Keeley and Tina Podlogar and Vita Postuvan and Franz Resch and S{\'a}iz, {Pilar A.} and Merike Sisask and Alexandra Tubiana and Peeter V{\"a}rnik and Marco Sarchiapone and Hoven, {Christina W.} and Danuta Wasserman",

note = "Funding Information: The SEYLE project is supported by the European Union through the Seventh Framework Program (FP7), Grant agreement number HEALTH-F2-2009-223091. SEYLE Project Leader and Principal Investigator is Professor in Psychiatry and Suicidology Danuta Wasserman, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) at Karolinska Institutet (KI), Stockholm, Sweden. The Executive Committee comprises Professor Danuta Wasserman and Senior Lecturer Vladimir Carli, both from NASP, KI, Sweden; Professor Marco Sarchiapone from the University of Molise, Italy; Professor Christina W. Hoven, and Anthropologist Camilla Wasserman, both from the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, US; the SEYLE Consortium comprises sites in twelve European countries. Site leaders are Danuta Wasserman (NASP, Coordinating Centre), Christian Haring (Austria), Airi Varnik (Estonia), Jean-Pierre Kahn (France), Romuald Brunner (Germany), Judit Balazs (Hungary), Paul Corcoran (Ireland), Alan Apter (Israel), Marco Sarchiapone (Italy), Doina Cosman (Romania), Vita Postuvan (Slovenia) and Julio Bobes (Spain). Special thanks regarding this manuscript go to Katja Klug, Gloria Fischer and Lisa G{\"o}belbecker from the University of Heidelberg, Germany, for their extensive help in the development and evaluation of the professional screening procedure during the SEYLE study. ",

year = "2014",

month = jul,

doi = "10.1007/s00787-013-0490-y",

language = "אנגלית",

volume = "23",

pages = "611--620",

journal = "European Child and Adolescent Psychiatry",

issn = "1018-8827",

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Kaess, M, Brunner, R, Parzer, P, Carli, V, Apter, A, Balazs, JA, Bobes, J, Coman, HG, Cosman, D, Cotter, P, Durkee, T, Farkas, L, Feldman, D, Haring, C, Iosue, M, Kahn, JP, Keeley, H, Podlogar, T, Postuvan, V, Resch, F, Sáiz, PA, Sisask, M, Tubiana, A, Värnik, P, Sarchiapone, M, Hoven, CW & Wasserman, D 2014, 'Risk-behaviour screening for identifying adolescents with mental health problems in Europe', European Child and Adolescent Psychiatry, vol. 23, no. 7, pp. 611-620. https://doi.org/10.1007/s00787-013-0490-y

TY - JOUR

T1 - Risk-behaviour screening for identifying adolescents with mental health problems in Europe

AU - Kaess, Michael

AU - Brunner, Romuald

AU - Parzer, Peter

AU - Carli, Vladimir

AU - Apter, Alan

AU - Balazs, Judit A.

AU - Bobes, Julio

AU - Coman, Horia G.

AU - Cosman, Doina

AU - Cotter, Padraig

AU - Durkee, Tony

AU - Farkas, Luca

AU - Feldman, Dana

AU - Haring, Christian

AU - Iosue, Miriam

AU - Kahn, Jean Pierre

AU - Keeley, Helen

AU - Podlogar, Tina

AU - Postuvan, Vita

AU - Resch, Franz

AU - Sáiz, Pilar A.

AU - Sisask, Merike

AU - Tubiana, Alexandra

AU - Värnik, Peeter

AU - Sarchiapone, Marco

AU - Hoven, Christina W.

AU - Wasserman, Danuta

N1 - Funding Information: The SEYLE project is supported by the European Union through the Seventh Framework Program (FP7), Grant agreement number HEALTH-F2-2009-223091. SEYLE Project Leader and Principal Investigator is Professor in Psychiatry and Suicidology Danuta Wasserman, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) at Karolinska Institutet (KI), Stockholm, Sweden. The Executive Committee comprises Professor Danuta Wasserman and Senior Lecturer Vladimir Carli, both from NASP, KI, Sweden; Professor Marco Sarchiapone from the University of Molise, Italy; Professor Christina W. Hoven, and Anthropologist Camilla Wasserman, both from the Department of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, US; the SEYLE Consortium comprises sites in twelve European countries. Site leaders are Danuta Wasserman (NASP, Coordinating Centre), Christian Haring (Austria), Airi Varnik (Estonia), Jean-Pierre Kahn (France), Romuald Brunner (Germany), Judit Balazs (Hungary), Paul Corcoran (Ireland), Alan Apter (Israel), Marco Sarchiapone (Italy), Doina Cosman (Romania), Vita Postuvan (Slovenia) and Julio Bobes (Spain). Special thanks regarding this manuscript go to Katja Klug, Gloria Fischer and Lisa Göbelbecker from the University of Heidelberg, Germany, for their extensive help in the development and evaluation of the professional screening procedure during the SEYLE study.

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N2 - Indicated prevention of mental illness is an important public health concern among youth. The aim of this study was to establish a European school-based professional screening among adolescents, which included variables on both a broad range of risk-behaviours and psychopathology; and to investigate the indicative value of adolescent risk-behaviour and self-reported psychopathology on help-seeking and psychological problems that required subsequent mental healthcare. A two-stage professional screening approach was developed and performed within the multi-centre study "Saving and Empowering Young Lives in Europe" (SEYLE). The first stage of screening comprised a self-report questionnaire on a representative sample of 3,070 adolescents from 11 European countries. In the second stage, students deemed at-risk for mental health problems were evaluated using a semi-structured clinical interview performed by healthcare professionals. 61 % of participants (n = 1,865) were identified as being at-risk in stage one. In stage two, 384 participants (12.5 % of the original sample) were found to require subsequent mental healthcare during semi-structured, clinical assessment. Among those, 18.5 % of pupils were identified due to screening for psychopathology alone; 29.4 % due to screening for risk-behaviours alone; and 52.1 % by a combination of both. Young age and peer victimization increased help-seeking, while very low body mass index, depression, suicidal behaviour and substance abuse were the best predictors of referral to mental healthcare. Screening of risk-behaviours significantly increased the number of detected students requiring subsequent mental healthcare. Screening of risk-behaviours added significant value in identifying the significant amount of European pupils with mental health problems. Therefore, attention to adolescent risk-behaviours in addition to psychopathology is critical in facilitating prevention and early intervention. Identifying factors that increase compliance to clinical interviews are crucial in improving screening procedures.

AB - Indicated prevention of mental illness is an important public health concern among youth. The aim of this study was to establish a European school-based professional screening among adolescents, which included variables on both a broad range of risk-behaviours and psychopathology; and to investigate the indicative value of adolescent risk-behaviour and self-reported psychopathology on help-seeking and psychological problems that required subsequent mental healthcare. A two-stage professional screening approach was developed and performed within the multi-centre study "Saving and Empowering Young Lives in Europe" (SEYLE). The first stage of screening comprised a self-report questionnaire on a representative sample of 3,070 adolescents from 11 European countries. In the second stage, students deemed at-risk for mental health problems were evaluated using a semi-structured clinical interview performed by healthcare professionals. 61 % of participants (n = 1,865) were identified as being at-risk in stage one. In stage two, 384 participants (12.5 % of the original sample) were found to require subsequent mental healthcare during semi-structured, clinical assessment. Among those, 18.5 % of pupils were identified due to screening for psychopathology alone; 29.4 % due to screening for risk-behaviours alone; and 52.1 % by a combination of both. Young age and peer victimization increased help-seeking, while very low body mass index, depression, suicidal behaviour and substance abuse were the best predictors of referral to mental healthcare. Screening of risk-behaviours significantly increased the number of detected students requiring subsequent mental healthcare. Screening of risk-behaviours added significant value in identifying the significant amount of European pupils with mental health problems. Therefore, attention to adolescent risk-behaviours in addition to psychopathology is critical in facilitating prevention and early intervention. Identifying factors that increase compliance to clinical interviews are crucial in improving screening procedures.

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KW - Depression

KW - Health-care

KW - Help-seeking

KW - Mental health

KW - Peer victimization

KW - Psychopathology

KW - Risk-behaviour

KW - SEYLE

KW - Screening

KW - Self-injury

KW - Substance abuse

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JF - European Child and Adolescent Psychiatry

IS - 7

ER -

Risk-behaviour screening for identifying adolescents with mental health problems in Europe

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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