Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
Front Public Health. 2021 Sep 27;9:714497. doi: 10.3389/fpubh.2021.714497. eCollection 2021.
To monitor population mental health, the identification of relevant indicators is pivotal. This scoping review provides a comprehensive overview of current indicators representing the various fields of public mental health core topics. It was conducted as a first step to build up a Mental Health Surveillance for Germany. We conducted a systematic MEDLINE search via PubMed. This search was supplemented by an extensive examination of the websites of relevant national as well as international institutions in the context of public mental health and an additional internet search via Google. To structure the data, an expert-based focus group identified superordinate topics most relevant to public mental health to which the identified indicators could be assigned to. Finally, the indicator set was screened for duplicates and appropriate content to arrive at a final set. Within the various search strategies, we identified 13.811 records. Of these records, a total of 365 records were processed for indicator extraction. The extracted indicators were then assigned to 14 topics most relevant to public mental health as identified by the expert-based focus group. After the exclusion of duplicates and those indicators not meeting criteria of specificity and target group, the final set consisted of 192 indicators. The presented indicator set provides guidance in the field of current concepts in public mental health monitoring. As a comprehensive compilation, it may serve as basis for future surveillance efforts, which can be adjusted and condensed depending on the particular monitoring focus. Our work provides insights into established indicators included in former surveillance work as well as recent, not yet included indicators reflecting current developments in the field. Since our compilation mainly concludes indicators related to mental health in adults, it should be complemented with indicators specific to children and adolescents. Furthermore, our review revealed that indicators on mental health promotion and prevention are underrepresented in current literature of public mental health and should hence be focused on within future research and surveillance.
为了监测人口心理健康，确定相关指标至关重要。本范围综述全面概述了代表公共心理健康核心主题各个领域的当前指标。这是为建立德国心理健康监测系统而进行的第一步。我们通过 PubMed 进行了系统的 MEDLINE 搜索。这项搜索通过广泛检查与公共心理健康相关的国家和国际机构的网站以及通过 Google 进行的额外互联网搜索得到了补充。为了对数据进行结构处理，一个基于专家的重点小组确定了与公共心理健康最相关的上级主题，可将确定的指标分配到这些主题中。最后，对指标集进行了重复项和适当内容的筛选，以得出最终集。在各种搜索策略中，我们确定了 13811 条记录。在这些记录中，共有 365 条记录用于提取指标。然后，将提取的指标分配给基于专家的重点小组确定的 14 个与公共心理健康最相关的主题。排除重复项和不符合特异性和目标群体标准的指标后，最终集由 192 个指标组成。所提出的指标集为公共心理健康监测领域的当前概念提供了指导。作为一个全面的汇编，它可以作为未来监测工作的基础，可根据特定的监测重点进行调整和浓缩。我们的工作提供了对以前监测工作中包含的既定指标以及反映该领域当前发展的最新、尚未包含的指标的深入了解。由于我们的汇编主要包含与成年人心理健康相关的指标，因此应补充针对儿童和青少年的特定指标。此外，我们的综述表明，在当前公共心理健康文献中，心理健康促进和预防指标的代表性不足，因此应在未来的研究和监测中重点关注这些指标。
