Depressive symptoms, suicidal ideation, and mental health care-seeking in central Mozambique

with input from the INCOMAS Study Team; Halsted, Sheldon; Ásbjörnsdóttir, Kristjana H.; Wagenaar, Bradley H.; Cumbe, Vasco; Augusto, Orvalho; Gimbel, Sarah; Manaca, Nelia; Manuel, João Luis; Sherr, Kenneth

doi:10.1007/s00127-019-01746-2

Cited by 36Mental Health Treatment and AccessSuicide and Self-Harm StudiesPsychiatric care and mental health services

The DOI matches its Crossref record; 71 of the 71 references it cites were found in a registry or an index.

Depressive symptoms, suicidal ideation, and mental health care-seeking in central Mozambique

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with input from the INCOMAS Study Team, Halsted, Sheldon, Ásbjörnsdóttir, Kristjana H., Wagenaar, Bradley H., Cumbe, Vasco, Augusto, Orvalho, Gimbel, Sarah, Manaca, Nelia, Manuel, João Luis, Sherr, Kenneth·2019·Social Psychiatry and Psychiatric Epidemiology

DOI 10.1007/s00127-019-01746-2PMC PMC7050264

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Abstract

Purpose There is scant research on depressive symptoms (DS), suicidal ideation (SI), and mental health care-seeking in Mozambique.Methods Generalized estimating equations were used to assess factors associated with DS, SI, and mental health care-seeking among 3080 individuals interviewed in a representative household survey in Sofala and Manica provinces, Mozambique.Results 19% (CI 17-21%) of respondents reported DS in the past year and 17% (CI 15-18%) lifetime SI. Overall, only 10% (CI 8-11%) of respondents ever sought any care for mental illness, though 26% (CI 23-29%) of those reporting DS and/or SI sought care. 90% of those who sought care for DS received treatment; however, only 46% of those who sought care for SI received treatment. Factors associated with DS and SI include: female gender, divorced/separated, widowed, and > 55 years old. Respondents in the bottom wealth quintile reported lower DS, while those in upper wealth quintiles reported higher prevalence of SI. Individuals with DS or SI had significantly elevated measures of disability-especially in doing household chores, work/school activities, standing for long periods, and walking long distances. Factors associated with care-seeking include: female gender, rural residence, divorced/separated, and > 45 years old. Individuals in lower wealth quintiles and with no religious affiliation had lower odds of seeking care.Conclusions DS and SI are prevalent in central Mozambique and treatment gaps are high (68% and 89%, respectively). An urgent need exists for demand- and supply-side interventions to optimize the delivery of comprehensive community-based mental healthcare in Mozambique.

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Although task-shifting has increased availability of mental health services, there is limited system capacity to bring evidence-based interventions for unhealthy alcohol use to scale.
“While this strategy has increased availability of mental health services, there is limited system capacity to bring evidence-based interventions for UAU to scale (Halsted et al., 2019; Suleman et al., in press; Wainberg et al., 2020).”
From Mobile technology and task shifting to improve access to alcohol treatment services in Mozambique (2022) · cites this paper as Halsted et al., 2019

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Self-citation

Authors: with input from the INCOMAS Study Team, Halsted, S., Ásbjörnsdóttir, K. H., Wagenaar, B. H., Cumbe, V., Augusto, O., Gimbel, S., Manaca, N., Manuel, J. L., & Sherr, K.
Affiliations: University of Washington (US)
Eduardo Mondlane University (MZ)
Corresponding author: Halsted, Sheldon
ORCID: Halsted, Sheldon
Ásbjörnsdóttir, Kristjana H.
Wagenaar, Bradley H.
Cumbe, Vasco
Augusto, Orvalho
Gimbel, Sarah
Sherr, Kenneth
Venue: Social Psychiatry and Psychiatric Epidemiology
Publisher: Springer Science and Business Media LLC
Published: 2019-07-17
Volume: 54
Issue: 12
Pages: 1519-1533
ISSN: 0933-7954 (ISSN-L)
1433-9285
DOI: 10.1007/s00127-019-01746-2
PMC: PMC7050264
OpenAlex: W2957980703
Cited by: 36
References: 71
Citations by year: 2026: 1 · 2025: 11 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 2 · 2020: 1
FWCI: 3.45
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Doris Duke Charitable Foundation
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: depressive symptoms, suicidal ideation, mental health treatment seeking, treatment gap, Mozambique, disability, socioeconomic status, gender differences, religiosity, community mental health services, depression prevalence
MeSH terms: Adult, Mental Disorders, Depression, Female, Humans, Male, Mental Health, Middle Aged, Mozambique, Patient Acceptance of Health Care, Rural Population, Prevalence, Suicidal Ideation

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Depressive symptoms, suicidal ideation, and mental health care-seeking in central Mozambique

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