Mental health indicators for children and adolescents in OECD countries: a scoping review

Front Public Health. 2024 Feb 13:11:1303133. doi: 10.3389/fpubh.2023.1303133. eCollection 2023.

Abstract

Background: This scoping review is a further step to build up the Mental Health Surveillance System for Germany. It summarizes and analyzes indicators used or described in Organization for Economic Co-operation and Development (OECD) countries for public mental health monitoring in children and adolescents aged 0-18 years.

Methods: We searched PubMed-MEDLINE, PsycINFO, Cochrane Databases, and Google Scholar from 2000 to September 2022. The search used five general keyword categories: 1) "indicators/monitoring/surveillance" at the population level, 2) "mental/psychological," 3) "health/disorders," 4) "children and adolescents," and 5) 38 OECD countries. The search was complemented with an extensive grey literature search, including OECD public health institutions and an internet search using Google. A predefined set of inclusion and exclusion criteria was applied.

Results: Over 15,500 articles and documents were screened (scientific search N = 10,539, grey literature search more than 5,000). More than 700 articles and documents have been full-text assessed, with 382 being ultimately included. Out of 7,477 indicators extracted, an initial set of 6,426 indicators met our inclusion criteria for indicators. After consolidating duplicates and similar content, this initial set was categorized into 19 topics, resulting in a final set of 210 different indicators. The analysis highlighted an increasing interest in the topic since 2008, but indicators for the younger age, particularly those aged 0 to 2 years, were less readily available.

Conclusion: Our research provides a comprehensive understanding of the current state of mental health indicators for children and adolescents, identifying both (1) indicators of public mental health noted in a previous scoping review on adults and (2) new indicators specific to this age group. These findings contribute to the development of effective public health surveillance strategies for children and adolescents and inform future research in this field.

Keywords: OECD; adolescence; children; indicator; mental health; surveillance.

Publication types

  • Systematic Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Germany / epidemiology
  • Humans
  • Infant
  • Infant, Newborn
  • Mental Health*
  • Organisation for Economic Co-Operation and Development*

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This scoping review was funded by Robert Koch Institute, Berlin, Germany. These were public funds for a commissioned study carried out by evaplan at the University Hospital Heidelberg and the Heidelberg Institute of Global Health, Faculty of Medicine, Heidelberg University, guided by the Unit of Mental Health, Robert-Koch Institute.