Arnold Emily R, Liddelow Caitlin, Lim Angie S X, Vella Stewart A
Global Alliance for Mental Health and Sport (GAMeS), School of Psychology, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Northfields Avenue, Wollongong, NSW, 2522, Australia.
Eur Child Adolesc Psychiatry. 2025 Jan 22. doi: 10.1007/s00787-025-02648-2.
Suicide and self-harm are a leading cause of death globally, with females aged 15-24 years being a high-risk group requiring urgent intervention. Promoting mental health literacy is a well-established strategy for early intervention. No review has explored the available interventions promoting mental health literacy for female adolescents and their reach, effectiveness, adoption, implementation, and maintenance as a whole remains unknown. This study reviews existing interventions promoting mental health literacy in female adolescents. Searches included original peer-reviewed articles from inception to May 2024 across six databases, identifying twelve studies for review. Five independent meta-analyses were conducted, showing no significant effects immediately post-intervention for mental health literacy, knowledge, stigmatising attitudes, and help-provision. A significant reduction in stigmatising attitudes was found > 6 months post-intervention. Moderation analyses could not be performed due to insufficient data. None of the included studies reported on interventions specifically for female adolescents. This review also evaluated reporting of RE-AIM components, finding limited reporting on reach, adoption, and maintenance. These findings highlight a substantial gap in high-impact and tailored mental health prevention and promotion interventions for female adolescents. Therefore, there is a clear need to understand and target female adolescents' mental health literacy needs to develop and implement more effective interventions.
自杀和自残是全球主要的死亡原因之一，15至24岁的女性是需要紧急干预的高危群体。提高心理健康素养是一种成熟的早期干预策略。尚无综述探讨针对女性青少年提高心理健康素养的现有干预措施，其覆盖面、有效性、采用情况、实施情况及维持情况总体仍不明确。本研究对现有的促进女性青少年心理健康素养的干预措施进行综述。检索范围包括从创刊至2024年5月在六个数据库中检索到的经同行评审的原创文章，共识别出12项研究进行综述。进行了五项独立的荟萃分析，结果显示干预后立即对心理健康素养、知识、污名化态度和帮助提供方面没有显著影响。干预后6个月以上发现污名化态度有显著降低。由于数据不足，无法进行调节分析。纳入的研究均未报告专门针对女性青少年的干预措施。本综述还评估了RE-AIM各组成部分的报告情况，发现关于覆盖面、采用情况和维持情况的报告有限。这些发现凸显了针对女性青少年的高影响力和量身定制的心理健康预防与促进干预措施存在重大差距。因此，显然有必要了解并针对女性青少年的心理健康素养需求，以制定和实施更有效的干预措施。
