Academic Journal
The science of child and adolescent mental health in Brazil: a nationwide systematic review and compendium of evidence-based resources.
| Τίτλος: | The science of child and adolescent mental health in Brazil: a nationwide systematic review and compendium of evidence-based resources. |
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| Συγγραφείς: | Marchionatti LE; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA lauromarchionatti@gmail.com.; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil., Campello AC; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade de São Paulo (USP), São Paulo, Brazil., Veronesi JA; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade de São Paulo (USP), São Paulo, Brazil., Ziebold C; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil., Tonon AC; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.; McMaster University, Hamilton, Ontario, Canada., Casella CB; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade de São Paulo (USP), São Paulo, Brazil., Schafer JL; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA., Madyun AN; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA., Caye A; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Universidade de São Paulo (USP), São Paulo, Brazil., Kieling C; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.; Instituto de Pesquisa, Hospital Moinhos de Vento, Porto Alegre, Brazil., Rohde LA; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil.; Centro Universitário de Jaguariúna & Centro Universitário Max Planck, Jaguariúna & Indaiatuba, Brazil.; National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health, São Paulo, Brazil., Polanczyk GV; Universidade de São Paulo (USP), São Paulo, Brazil., Mari J; Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil., Rocha R; Instituto de Estudos Para Políticas de Saúde (IEPS), São Paulo & Rio de Janeiro, Brazil.; Fundação Getúlio Vargas, São Paulo, Brazil., Rosa L; Instituto de Estudos Para Políticas de Saúde (IEPS), São Paulo & Rio de Janeiro, Brazil., Rosa D; Instituto de Estudos Para Políticas de Saúde (IEPS), São Paulo & Rio de Janeiro, Brazil., Sanchez ZM; Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil., Bressan RA; Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.; Instituto Ame Sua Mente, São Paulo, Brazil., Saxena S; Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA., Evans-Lacko S; Care Policy and Evaluation Centre, London School of Economics and Political Science, London, UK., Cuijpers P; Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Merikangas KR; National Institute of Mental Health, Bethesda, Maryland, USA., Kohrt BA; The George Washington University, Washington, District of Columbia, USA., Bantjes J; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; University of Cape Town, Cape Town, South Africa.; South African Medical Research Council (SAMRC), Cape Town, South Africa.; Stellenbosch University, Stellenbosch, South Africa., Reynolds S; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA., Mneimneh Z; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Center for Global Health Equity, University of Michigan, Ann Arbor, Michigan, USA., Salum GA; Stavros Niarchos Foundation (SNF) Global Center for Child and Adolescent Mental Health, Child Mind Institute, New York, New York, USA.; Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil. |
| Πηγή: | BMJ global health [BMJ Glob Health] 2026 Jul 10; Vol. 11 (7). Date of Electronic Publication: 2026 Jul 10. |
| Τύπος έκδοσης: | Systematic Review; Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101685275 Publication Model: Electronic Cited Medium: Print ISSN: 2059-7908 (Print) Linking ISSN: 20597908 NLM ISO Abbreviation: BMJ Glob Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd, [2016]- |
| Ιατρικοί όροι (MeSH): | Mental Disorders*/epidemiology , Mental Health*, Brazil/epidemiology ; Humans ; Adolescent ; Child ; Evidence Gaps ; Prevalence |
| Περίληψη: | Background: Brazil is home to 50 million children and adolescents, whose mental health needs require context-sensitive research. Although scientific output is growing in the country, publications remain scattered and often inaccessible. Methods: This systematic review compiles prevalence estimates, assessment instruments and interventions for child and adolescent mental health-related outcomes in Brazil (PROSPERO: CRD42023491393). We searched international (PubMed, Web of Science, PsycINFO, Google Scholar) and regional (Scielo, Lilacs, Brazilian Digital Library of Theses and Dissertations) databases up to July 2024. We consulted reference lists and experts. Extraction followed Consensus-based Standards for the selection of health Measurement Instruments and Cochrane manuals. Results: We included 734 studies on 2576 prevalence estimates, 908 studies on 912 instruments and 192 studies on 173 intervention trials. The prevalence of any mental disorder ranged from 10.8% (12-year-olds; Pelotas, RS) to 19.9% (ages 7-14; Porto Alegre, RS and São Paulo, SP) although a nationally representative study is lacking. There is an alarming rise in self-harm notifications, reaching 133 in 2019 (per 100 000 aged 10-19). Indigenous youth face suicide rates of 11 (ages 10-14), far exceeding national numbers (0.652). Nationwide surveys reveal severe violence exposure (eg, 21% of adolescents suffer physical violence at home in the previous year), disproportionately impacting Black youth and increasing risk for mental disorders. There are reliable instruments for assessing psychopathology, yet most lack cross-cultural validation. Interventions remain underimplemented. The largest trials adapted substance-use prevention programmes from high-income countries, proving ineffective in Brazil. Public investment is the primary driver of research, which is centralised in wealthier states and misrepresents social minorities. Discussion: This review provides timely access to appraised evidence-based resources, facilitating uptake into practice. Brazil's historical sociocultural challenges impact youth mental health, with public health priorities including systemic violence, racism and indigenous suicide. (© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Competing Interests: | Competing interests: GVP has served as a speaker and/or consultant to Abbott, Ache, Adium, Apsen, EMS, Libbs, Medice, Takeda and receives authorship royalties from Manole Editors. LAR has received grant or research support from, served as a consultant to, and served on the speakers’ bureau of Abdi Ibrahim, Abbott, Aché, Adium, Apsen, Bial, Cellera, EMS, Knight Therapeutics, Libbs, Medice, Novartis/Sandoz, Pfizer/Upjohn/Viatris, Shire/Takeda and Torrent in the last 3 years. The ADHD and Juvenile Bipolar Disorder Outpatient Programs chaired by LAR have received unrestricted educational and research support from the following pharmaceutical companies in the last three years: Novartis/Sandoz and Shire/Takeda. LAR has received authorship royalties from Oxford Press and ArtMed. SS is a senior advisor to McKinsey Health Institute. AC served as a consultant for Knight Therapeutics. RAB received institutional grants, personal fees and non-financial support from Janssen. All other authors declare no conflict of interest. All declared support occurred outside of the present work. |
| Contributed Indexing: | Keywords: Brazil; Child health; Mental Health & Psychiatry; Systematic review |
| Entry Date(s): | Date Created: 20260710 Date Completed: 20260711 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13358285 |
| DOI: | 10.1136/bmjgh-2024-018542 |
| PMID: | 42431695 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2059-7908 |
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| DOI: | 10.1136/bmjgh-2024-018542 |