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Swiss Youth Epidemiological Study on Mental Health (S-YESMH)

English title Swiss Youth Epidemiological Study on Mental Health
Applicant Mohler-Kuo Meichun
Number 163379
Funding scheme Project funding (Div. I-III)
Research institution Institut für Epidemiologie, Biostatistik und Prävention Universität Zürich
Institution of higher education University of Zurich - ZH
Main discipline Public Health and Health Services
Start/End 01.01.2016 - 31.08.2019
Approved amount 474'000.00
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All Disciplines (3)

Discipline
Public Health and Health Services
Mental Disorders, Psychosomatic Diseases
Medical Statistics

Keywords (3)

untreasted rate; health service utilization; mental disorders

Lay Summary (German)

Lead
Lead: In der Schweiz, wurde die hervortretende Bedeutung der psychischen Störungen dokumentiert . Kürzlich betonte auch ein Bericht des Schweizerischen Gesundheitsobservatoriums (OBSAN) die Notwendigkeit, epidemiologische Daten zur Nachfrage im Gesundheitswesen und zur Häufigkeit von unbehandelten psychischen Störungen in der Bevölkerung zu bestimmen. In der vorliegenden Studie werden aktuelle Prävalenzdaten für die wichtigsten psychischen Störungen in jungen Leuten untersucht.
Lay summary

Hintergrund: Gemäss der Welt-Gesundheits-Organisation (WHO) werden Psychische Störungen bis 2030 weltweit die Hauptgesundheitslast bilden. Insbesondere unter Schweizer Einwohnern, welche zwischen 1995 und 2012 eine IV-Rente erhalten haben, hat die Rate derjenigen Personen drastisch zugenommen, welche eine psychische Krankheit als Grund ihrer Invalidität angaben, nämlich von 28% auf 43.4%. Psychische Störungen sind der häufigste Einzelgrund, eine IV-Rente zu erhalten.

Ziele: Die vorliegende Studie, hat die Bestimmung der Prävalenz und des Altersbeginns der wichtigsten psychischen Störungen in Jugendlichen in der Schweiz zum Ziel. Dabei sollen auch geographische und sozio-ökonomische Unterschiede erfasst werden. Zusätzlich werden Risiko- und schützende Faktoren, die Ko-Morbidität von psychischen Störungen, die Lebensqualität und die funktionelle Beeinträchtigungen bei Personen mit psychischen Störungen untersucht.

Methoden: Geplant ist, ca. 8800 junge Personen (16-20 Jahre alt) als repräsentative Stichprobe zu untersuchen. Diese Personen nahmen bereits 2010 an der nationalen Untersuchung der Kinder mit speziellen Gesundheitsbedürfnissen teil. Die Teilnehmenden werden wieder kontaktiert und untersucht. Eine Internetplattform wird aufgeschaltet werden, damit die Teilnehmenden Zugang zu online-Fragebögen und Telefoninterviews erhalten. Fragebogen und Telefoninterview werden in allen drei Sprachen vorhanden sein.

Bedeutung und Relevanz: Dies ist die erste nationale Untersuchung, welche spezifisch auf Psychische Störungen fokussiert. In Anbetracht der stetigen Zunahme psychischer Störungen werden unsere Resultate dringend benötigte populationsbasierte Daten für die Schweiz liefern und so bessere Strategien zur Prävention und Behandlung ermöglichen. Wir werden eine grosse Kohorte junger Personen untersuchen, welche es uns ermöglichen wird, Basisdaten und Kohorten-Effekte psychischer Krankheiten über die Zeit zu generieren, die zum internationalen Vergleich noch nicht vorhanden sind.

Direct link to Lay Summary Last update: 17.11.2015

Responsible applicant and co-applicants

Employees

Project partner

Collaboration

Group / person Country
Types of collaboration
School of Public Health, The University of Queensland Australia (Oceania)
- in-depth/constructive exchanges on approaches, methods or results

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Poster presentation at the Swiss Public Health Conference 2019, Winterthur, August 28-29. Poster Prevalence of common mental disorders and mental health service utilization in young Swiss adults. 28.08.2019 Winterthur, Switzerland Werlen Laura;
International Federation of Psychiatric Epidemiology (IFPE) 2019, São Paulo, April 8-10. Talk given at a conference Swiss Youth Epidemiological Study on Mental Health (S-YESMH): prevalence and treatment gap 09.04.2019 Sao Paulo, Brazil Mohler-Kuo Meichun;


Associated projects

Number Title Start Funding scheme
125486 Children with special health care needs in Switzerland: prevalence, health care utilization and social determinants 01.06.2009 Project funding (Div. I-III)
125486 Children with special health care needs in Switzerland: prevalence, health care utilization and social determinants 01.06.2009 Project funding (Div. I-III)

Abstract

Background: According to the World Health Organization, mental disorders will be the leading cause of disease burden globally by 2030. In Switzerland as well, the marked prominence of mental disorders in societal health has been documented; estimates are that one in six Swiss residents have symptoms that indicate a clinically-significant mental disorder. Moreover, among Swiss residents receiving disability compensation (IV-Rente), the proportion for whom mental illness was the stated cause of disability has increased dramatically, from 28% in 1995 to 43.4% in 2012, with mental illness experiencing the greatest annual growth among all reasons for disability compensation between 2000 and 2012. Consistent with this increase, mental illness has become the single most prevalent reason for someone to receive disability compensation (IV-Rente) in Switzerland. However, there is a lack of population-based estimates of mental illnesses and their impact. A recent report from the Swiss Health Observatory (OBSAN) also emphasized a pressing need for epidemiological data to estimate the healthcare needs and rates of untreated mental disorders within the population.Aims: The proposed study will generate updated prevalence estimates for major mental disorders among young people in Switzerland. In particular, we will assess help-seeking behaviors, estimate potential untreated rates, and identify factors associated with mental illness among Swiss youths. Specific aims of the study are therefore:1) To estimate the prevalence and age of onset of major mental illnesses in Swiss youths and examine differences in rates by geographic and socio-demographic characteristics.2) To estimate the prevalence of untreated mental health disorders and identify factors associated with mental disorders and their non-treatment.3) To assess correlates (i.e., risk and protective factors) of and co-morbidity with mental disorders, as well as quality of life and functional impairment among those individuals with mental disorders.4) To compare our results against a previous survey with the same subjects conducted five years ago, and against other studies in Switzerland and national surveys in other countries. Methods: The proposed study will be conducted with multidisciplinary support at the Competence Center for Mental Health, University of Zurich. We plan to re-survey a nationally-representative sample of 8863 young adults (16-20 years old) who participated in the previous National Survey of Children with Special Health Care Needs in 2010. These subjects will be re-contacted and re-assessed using mixed survey methodology that will combine an online survey, a computer-assisted telephone interview, and a written questionnaire to maximize the response rate. An internet platform will be set up that allows for subjects to access the online-questionnaire, and computer-assisted telephone interviews will be performed. Questionnaires will be programmed for both the online survey and telephone interview in all three languages. We plan to gather information on the lifetime, 12-month and current prevalence of major mental disorders. In addition, we will examine associated risk factors, service use, help-seeking behaviors and functional impairment.Relevant importance: This will be the first national survey to focus primarily on mental health, help-seeking behaviors, associated factors, and the impact of mental illness. With the increased burden of mental disorders at all levels, our results will provide urgently-needed population-based data on mental health disorders in Switzerland, so better strategies can be formulated to improve their prevention and treatment. In particular, we will survey a large cohort of young adults, allowing us to establish baseline data to assess age and cohort effects of mental illness over time, and to generate Swiss population-based epidemiological data on mental disorders that are still not available for international comparisons.
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