Vive Con Vida: A Suicide Awareness Campaign for Mexican Adolescents and Young Adults

Transcription

1 Mental Health America 2016 Annual Conference: Mental Health and its Impact Across Cultural Groups Vive Con Vida: A Suicide Awareness Campaign for Mexican Adolescents and Young Adults Paulina Fuentes Moad, Psy.D. June 09, 2016.

2 Why am I here? Paulina Fuentes Moad, Psy.D. Boston-based doctor in psychology. Mexican How can we help ourselves and others speak our Truth? Media, arts, politics central role in understanding mental illness Value of psychoeducation, particularly in communities where mental illness treatment is limited. Radio Show: NAMI Latino y la Comunidad A private meeting with former President of Mexico Felipe Calderón Hinojosa inspired her to create a non-profit organization, Vive Con Vida, A.C., which provides mental health education to the Mexican population via online tools and media. Hopes to expand this project to other countries. She has trained in different treatment modalities Completed her internship at Massachusetts General Hospital/Harvard Medical School at the MGH Chelsea Healthcare Center. 6/16/2016 2

3 The Public Health Model (WHO, 2014b) 1. Surveillance: What is the problem? 2. Identify risk and protective factors. 3. Develop & evaluate interventions: What works and for whom? 4. Implementation. 6/16/2016 3

4 Research Design and Procedures Demonstration project Based on Literature Review Website Content Draft Created four different websites in the process 6/16/2016 4

5 Most salient problem? Suicide. Suicide in the World Suicide in Mexico One of the main causes of death in the World 2 nd cause of death in adolescents and young adults Suicide kills 800,000 1,000,000 people each year Suicide rates in women increased 55.1% ( ) 90%-95% present at least one psychiatric disorder Underutilization of services: 58%-68% don t believe Suicide rates for young people rising quickly Children and adolescents 5-14 years old high rate Second cause of death people years old (8.5%) Common cause: family argument 75% of suicides low-and-middle-income countries , Increased suicidality China, India, Russia, USA, Japan, and South Korea Underreporting of suicide: stigma and sanctions Men do it more, female try more. Suicide rates in men increased 10% ( ) Methods: 1. Hanging 2. Pesticide Ingestion 3. Firearms Methods: 1. Hanging 2. Firearms 3. Poison 10 million suicide attempts each yr. 20M by % adolescents with psych diagnosis had a plan 6/16/2016 5

6 The context: Mexico Population: <120,000,000. Health care system = political party. 50% to 100% insured population: Psych services for All. Shortage of mental health professionals (Frenk, 2006): 2005: 1451 registered psychiatrists (WHO, 2006) : 1600 psychologists most not practicing as health professionals (Piña-López, 2004). Inadequate infrastructure (Frenk, 2006). 6/16/2016 6

7 Suicide Awareness and Prevention Campaigns Effective strategies: Promote protective factors Eliminate stigma/increase awareness Means-restriction programs/pcp Online successful strategies: Promote help-seeking behaviors Online chats Risk: glamorization of suicide [Promoting VS. Preventing] Contemporary campaigns emphasis on protective factors Effective mental health prevention and services. Research Practice Government Lancet Global Mental Health Group, /16/2016 7

8 Risk and Protective Factors Risk Factors Protective Factors Health and societal: war, discriminated groups. Strong personal relationships Individual: mental illness, substance abuse, stress Religious or spiritual beliefs Youth: (in addition) academic pressure, parenting Youth: positive role models MX: Prevalence of underdiagnosed mental illness Youth: community involvement MX: Barriers to care and underutilization of services MX Youth: Cohesiveness, live longer with families = MX Youth: Exposure to violence, low school attendance Later unset mental illness 6/16/2016 8

9 The Website: viveconvida.org Website Content Four Sections: 1. In Crisis/Homepage 2. Information 1. Suicide Facts 2. Risk Factors 3. Protective Factors 4. Myths and Facts 5. Express Yourself 6. Mindfulness 3. Help and Resources 4. About Us Website available in Spanish & Portuguese. 6/16/2016 9

10 Social Media and Website Design Social media presence in: Facebook: Most popular social media platform Twitter: Widely used in Mexico YouTube: Videos. Website Design: Green/White/Peach: Lighter version of Mexican flag. Tablet/smart phone/pc. Compatible with most Internet browsers. Navigation Style: Broad to Narrow 6/16/

11 The Reviewers - Demographics Some Similarities All identified as Latinos Most are leaders in their fields All professionals 6-10 years of experience All except 1 have lived in both U.S. and a Latin American country Some Unique Characteristics Five Mexicans One Guatemalan One Venezuelan One identified as Caucasian in addition to Latino 6/16/

12 Future Research & Clinical Implications Qualtrics Questionnaire: o Replication of study: bigger sample questionnaire on website Website Content & Design: o More graphs and videos o Discussed sections and images Website Expansion: o Mental health awareness o Other countries, settings (cultural translation) o Health policy and communication leaders Usage: o Schools o Medical Professionals o Paramedics Clinical Implications: o Raising suicide and mental health awareness o Calling for mental health services, especially in remote parts of the country o Lowering stigma of mental illness o Lowering stigma of therapy and mental health services o Expansion of services by cultural adaptation of specific communities o Clinicians can be added to directory too 6/16/

13 Thank You! Thank you your presence highlights the immense blessings that emanate from God. Paulina 6/16/