Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, Singapore.
J Adolesc Health. 2021 Aug;69(2):199-210. doi: 10.1016/j.jadohealth.2020.10.018. Epub 2020 Nov 18.
Adolescent mental illness often goes undetected. Youth and teen Mental Health First Aid (MHFA) are variations of adult MHFA that aims to help adults and adolescents recognize the signs and provide help where appropriate. We conducted a systematic review to summarize the current evidence for youth and teen MHFA, providing direction for future training and research.
A systematic search was performed on September 12, 2020 on PubMed, Embase, PsycINFO, ERIC, and Cochrane using keywords related to teen or youth MHFA, adolescents, and mental health. A narrative synthesis was then carried out.
Of the 695 articles identified, 14 studies were included. All studies were from the U.S. and Australia. All studies demonstrated significant improvements in knowledge, recognition, stigmatizing attitudes, confidence, helping intentions, and helping behavior in both adult and youth participants. Improvement in knowledge and confidence was most reported, and improvement in helping behavior was the least reported. There is encouraging evidence of long-term benefits after the training.
More studies need to be conducted in non-Western countries, high-risk populations, and different professional settings. Future interventions could also consider different modes of learning, longer-term follow-up, and the measurement of outcomes that evaluate the quality of helping behavior.
青少年精神疾病常常未被察觉。青少年心理健康急救（MHFA）是成人 MHFA 的变体，旨在帮助成年人和青少年识别迹象，并在适当情况下提供帮助。我们进行了系统评价，以总结青少年 MHFA 的现有证据，为未来的培训和研究提供指导。
我们于 2020 年 9 月 12 日在 PubMed、Embase、PsycINFO、ERIC 和 Cochrane 上使用与青少年 MHFA、青少年和心理健康相关的关键词进行了系统检索。然后进行了叙述性综合。
在确定的 695 篇文章中，纳入了 14 项研究。所有研究均来自美国和澳大利亚。所有研究均表明成年和青少年参与者的知识、识别、污名化态度、信心、帮助意愿和帮助行为均有显著改善。最常报告的是知识和信心的提高，而帮助行为的改善报告得最少。培训后有令人鼓舞的长期获益证据。
需要在非西方国家、高危人群和不同专业环境中进行更多的研究。未来的干预措施还可以考虑不同的学习模式、更长时间的随访以及衡量评估帮助行为质量的结果。
