Setting-based interventions to promote mental health at the university: a systematic review

Fernández, Ana; Howse, Eloise; Rubio-Valera, María; Thorncraft, Kathy; Noone, Jack; Luu, Xuan; Veness, Benjamin G; Leech, Marie; Llewellyn, Gwynnyth; Salvador‐Carulla, Luis

doi:10.1007/s00038-016-0846-4

Cited by 105 publications

(105 citation statements)

References 44 publications

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“…Effective ways for universities to promote and support good mental health within their communities are multifaceted . One of the key areas for investment when working towards better health and wellbeing of both students and staff is developing, evaluating and promoting evidence‐based health information technologies.…”

Section: Discussionmentioning

confidence: 99%

Project Synergy: co‐designing technology‐enabled solutions for Australian mental health services reform

Hickie

Davenport

Burns

et al. 2019

Medical Journal of Australia

109

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Summary Project Synergy aims to test the potential of new and emerging technologies to enhance the quality of mental health care provided by traditional face‐to‐face services. Specifically, it seeks to ensure that consumers get the right care, first time (delivery of effective mental health care early in the course of illness). Using co‐design with affected individuals, Project Synergy has built, implemented and evaluated an online platform to assist the assessment, feedback, management and monitoring of people with mental disorders. It also promotes the maintenance of wellbeing by collating health and social information from consumers, their supportive others and health professionals. This information is reported back openly to consumers and their service providers to promote genuine collaborative care. The online platform does not provide stand‐alone medical or health advice, risk assessment, clinical diagnosis or treatment; instead, it supports users to decide what may be suitable care options. Using an iterative cycle of research and development, the first four studies of Project Synergy (2014–2016) involved the development of different types of online prototypes for young people (i) attending university; (ii) in three disadvantaged communities in New South Wales; (iii) at risk of suicide; and (iv) attending five headspace centres. These contributed valuable information concerning the co‐design, build, user testing and evaluation of prototypes, as well as staff experiences during development and service quality improvements following implementation. Through ongoing research and development (2017–2020), these prototypes underpin one online platform that aims to support better multidimensional mental health outcomes for consumers; more efficient, effective and appropriate use of health professional knowledge and clinical skills; and quality improvements in mental health service delivery.

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Section: Discussionmentioning

confidence: 99%

Project Synergy: co‐designing technology‐enabled solutions for Australian mental health services reform

Hickie

Davenport

Burns

et al. 2019

Medical Journal of Australia

109

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“…Building on existing typologies of interventions in the literature (e.g. Hayter, 2011;Fernandez et al 2016) and the analysis described above, we see interventions at three levels:…”

Section: Discussionmentioning

confidence: 99%

“…Another notable paper is the review by Fernandez et al (2016), which summarises evidence on interventions to promote mental health in the university environment. They identify 19 papers with relevant interventions, but note that the majority of these are focused on students, with only 4 targeting employees' mental health.…”

Section: What Interventions Are Used To Support Researchers and Whatmentioning

confidence: 99%

Understanding mental health in the research environment: A Rapid Evidence Assessment

Guthrie¹,

Lichten²,

Belle³

et al. 2017

148

121

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RAND Europe is a not-for-profit organisation whose mission is to help improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. Limited Print and Electronic Distribution RightsThis document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. This work consists of a review of the existing literature.The report is likely to be of relevance to universities and other research-performing institutions, policy makers, research funders and managers, professional bodies, and the research community more widely.RAND Europe is a not-for-profit policy research organisation which aims to improve policy and decision making through research and analysis. For more information on this report or RAND Europe more widely, please contact

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“…There is little evidence about interventions on treatment referrals for students with STB, and studies do not address the effectiveness of the treatment in STB (Wolitzky‐Taylor, LeBeau, Perez, Gong‐Guy, & Fong, ). A combination of individual strategies building personal skills and setting‐based approach to improve the overall university setting has also been recommended (Fernandez et al, ). Ensuring self‐regulation and coping strategies before the onset of college stressful life events might be helpful (O'Neill et al, ).…”

Section: Discussionmentioning

confidence: 99%

Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross‐sectional study of Spanish university students

et al. 2019

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Aim: To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any genderinteraction with those factors and STB; among Spanish university students.Methods: Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed. Results:We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant 05728; Generalitat de Catalunya, Grant/ Award Number: 20172017 gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95% CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females.Conclusions: Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed. K E Y W O R D Sanxiety/anxiety disorders, depression, gender, mood disorders, suicide/self-harm

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Setting-based interventions to promote mental health at the university: a systematic review

Abstract: Universities should invest in creating supportive physical, social and academic environments that promote student and staff mental wellbeing. However, the current body of evidence is scarce and more research is needed to recommend what are the best strategies.

Cited by 105 publications

References 44 publications

Project Synergy: co‐designing technology‐enabled solutions for Australian mental health services reform

Project Synergy: co‐designing technology‐enabled solutions for Australian mental health services reform

Understanding mental health in the research environment: A Rapid Evidence Assessment

Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross‐sectional study of Spanish university students

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