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      The impact of universal, school based, interventions on help seeking in children and young people: a systematic literature review

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          Abstract

          Reviews into universal interventions to improve help seeking in young people focus on specific concepts, such as behaviour, do not differentiate between interpersonal and intrapersonal help seeking, and often report on statistical significance, rather than effect size. The aim of this review was to address the gaps highlighted above, to investigate the impact of universal, school-based interventions on help-seeking in children and young people, as well as to explore longer term impact. Four databases were searched. Data were extracted on country of origin, design, participant, school, and intervention characteristics, the help-seeking concept measured (e.g. knowledge, attitude/intention, behaviour), the duration between baseline and each follow-up (if applicable) and effect sizes at each follow-up. Quality assessment of the studies was undertaken using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Overall, 14 different interventions met inclusion criteria. The majority of the studies were rated low in the quality assessment. Three constructs were most frequently reported a) intrapersonal attitudes towards help-seeking, b) interpersonal attitudes towards help-seeking and c) intrapersonal intended help-seeking. Findings around intervention effect were mixed. There was tentative evidence that interventions impacting interpersonal attitudes produced small effect sizes when measured between 3 and 6 months post intervention and that when effect sizes were initially observed intrapersonal attitudes, this remained at 3–6 month follow-up. Further work should pay attention to implementation factors, understanding the core ingredients needed to deliver effective interventions and whether embedding mental health education could help sustain or top up effect sizes from help-seeking interventions.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s00787-022-02135-y.

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          The theory of planned behavior

          Icek Ajzen (1991)
          Organizational Behavior and Human Decision Processes, 50(2), 179-211
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            Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement

            Systematic reviews should build on a protocol that describes the rationale, hypothesis, and planned methods of the review; few reviews report whether a protocol exists. Detailed, well-described protocols can facilitate the understanding and appraisal of the review methods, as well as the detection of modifications to methods and selective reporting in completed reviews. We describe the development of a reporting guideline, the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Protocols 2015 (PRISMA-P 2015). PRISMA-P consists of a 17-item checklist intended to facilitate the preparation and reporting of a robust protocol for the systematic review. Funders and those commissioning reviews might consider mandating the use of the checklist to facilitate the submission of relevant protocol information in funding applications. Similarly, peer reviewers and editors can use the guidance to gauge the completeness and transparency of a systematic review protocol submitted for publication in a journal or other medium.
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              Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication.

              Little is known about lifetime prevalence or age of onset of DSM-IV disorders. To estimate lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the recently completed National Comorbidity Survey Replication. Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using the fully structured World Health Organization World Mental Health Survey version of the Composite International Diagnostic Interview. Nine thousand two hundred eighty-two English-speaking respondents aged 18 years and older. Lifetime DSM-IV anxiety, mood, impulse-control, and substance use disorders. Lifetime prevalence estimates are as follows: anxiety disorders, 28.8%; mood disorders, 20.8%; impulse-control disorders, 24.8%; substance use disorders, 14.6%; any disorder, 46.4%. Median age of onset is much earlier for anxiety (11 years) and impulse-control (11 years) disorders than for substance use (20 years) and mood (30 years) disorders. Half of all lifetime cases start by age 14 years and three fourths by age 24 years. Later onsets are mostly of comorbid conditions, with estimated lifetime risk of any disorder at age 75 years (50.8%) only slightly higher than observed lifetime prevalence (46.4%). Lifetime prevalence estimates are higher in recent cohorts than in earlier cohorts and have fairly stable intercohort differences across the life course that vary in substantively plausible ways among sociodemographic subgroups. About half of Americans will meet the criteria for a DSM-IV disorder sometime in their life, with first onset usually in childhood or adolescence. Interventions aimed at prevention or early treatment need to focus on youth.
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                Author and article information

                Contributors
                d.hayes@ucl.ac.uk
                Journal
                Eur Child Adolesc Psychiatry
                Eur Child Adolesc Psychiatry
                European Child & Adolescent Psychiatry
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                1018-8827
                1435-165X
                13 January 2023
                13 January 2023
                : 1-18
                Affiliations
                [1 ]GRID grid.466510.0, ISNI 0000 0004 0423 5990, Evidence Based Practice Unit, Anna Freud National Centre for Children, and Families, ; London, UK
                [2 ]GRID grid.83440.3b, ISNI 0000000121901201, Social Biobehavioural Research Group, Department of Behavioural Science and Health, , University College London, ; London, UK
                [3 ]GRID grid.83440.3b, ISNI 0000000121901201, Centre for Longitudinal Studies, , Social Research Institute, University College London, ; London, UK
                [4 ]GRID grid.5379.8, ISNI 0000000121662407, Manchester Institute of Education, , University of Manchester, ; Manchester, UK
                [5 ]GRID grid.8241.f, ISNI 0000 0004 0397 2876, School of Health Sciences, , University of Dundee, ; Dundee, UK
                [6 ]GRID grid.4425.7, ISNI 0000 0004 0368 0654, School of Psychology, , Liverpool John Moores University, ; Liverpool, UK
                [7 ]GRID grid.7340.0, ISNI 0000 0001 2162 1699, Department for Health, , University of Bath, ; Bath, UK
                [8 ]GRID grid.268922.5, ISNI 0000 0004 0427 2580, Population Science and Experimental Medicine, , MRC Unit for Lifelong Health and Ageing, University College London, ; London, UK
                Author information
                http://orcid.org/0000-0003-4948-3333
                Article
                2135
                10.1007/s00787-022-02135-y
                9837763
                36637482
                e1fd6b3c-54d2-4246-8751-53689318afc4
                © The Author(s) 2023

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 16 March 2022
                : 21 December 2022
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000829, Department for Education;
                Categories
                Review

                Clinical Psychology & Psychiatry
                help-seeking,school,child,young person,mental health,universal
                Clinical Psychology & Psychiatry
                help-seeking, school, child, young person, mental health, universal

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