2021, Número 2
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salud publica mex 2021; 63 (2)
Atención colaborativa para depresión y prevención de suicidio: una intervención viable en el sistema de salud mexicano
Durand-Arias S, Cordoba G, Borges G, Madrigal-de León EÁ
Idioma: Ingles.
Referencias bibliográficas: 55
Paginas: 274-280
Archivo PDF: 237.67 Kb.
RESUMEN
México enfrenta un enorme desafío para atender los trastornos
mentales, con la depresión como uno de los principales
contribuyentes a los años de vida ajustados por discapacidad
(AVAD) y el aumento de las tasas de suicidio. Estos desafíos se
combinan con la escasez de recursos y asignación ineficiente
de fondos. Si bien no hay una solución mágica a corto plazo,
discutimos experiencias actuales que podrían usarse para
brindar una mejor atención primaria en salud mental. Nos
centramos en depresión y conducta suicida argumentando
que la atención colaborativa es un modelo factible y replicable,
enfatizando la capacitación del personal no especializado para
que se convierta en administrador de casos y brinde atención
primaria en salud mental. México está experimentando un
proceso de cambios, incluido el surgimiento de la atención
médica universal, por lo que es el momento para que la
atención en salud mental sea más transversal, disponible y
científicamente probada.
REFERENCIAS (EN ESTE ARTÍCULO)
World Health Organization. Depression and other common mental disorders: global health estimates. Geneva: WHO, 2017. Available from: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSDMER- 2017.2-eng.pdf;jsessionid=BE33BA2F057D73AEDA89B6F2A2141D 12?sequence=1
Vos T, Abajobir AA, Abbafati C, Abbas KM, Abate KH, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211-59. https://doi.org/10.1016/S0140- 6736(17)32154-2
World Health Organization. World health statistics 2019: monitoring health for the SDGs, sustainable development goals. Geneva: WHO, 2019.
Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders: A meta-review. World Psychiatry. 2014;13(2):153- 60. https://doi.org/10.1002/wps.20128
Berenzon S, Lara MA, Robles R, Medina-Mora ME. Depresión: estado del conocimiento y la necesidad de políticas públicas y planes de acción en México. Salud Publica Mex. 2013;55(1):74-80. https://doi.org/10.1590/ S0036-36342013000100011
Ramos-Lira L. Why talk about gender and mental health? Salud Ment. 2014;37(4):275-81. Available from: http://www.scielo.org.mx/pdf/sm/v37n4/ v37n4a1.pdf
Gómez-Dantés H, Fullman N, Lamadrid-Figueroa H, Cahuana-Hurtado L, Darney B, Avila-Burgos L, et al. Dissonant health transition in the states of Mexico, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2016;388(10058):2386-402. https://doi. org/10.1016/S0140-6736(16)31773-1
Instituto Nacional de Estadística y Geografía. Estadísticas a propósito del Día Mundial para la Prevención del Suicido (10 de septiembre). Comunicado de prensa 455/19. INEGI: México, 2019 [cited February 19 2020]. Available from: https://www.inegi.org.mx/contenidos/saladeprensa/ aproposito/2019/suicidios2019_Nal.pdf
Borges G, Aguilar-Gaxiola S, Andrade L, Benjet C, Cia A, Kessler RC, et al. Twelve-month mental health service use in six countries of the Americas: A regional report from the World Mental Health Surveys. Epidemiol Psychiatr Sci. 2020;29:e53. https://doi.org/10.1017/S2045796019000477
Borges G, Benjet C, Orozco R, Medina-Mora ME. The growth of suicide ideation, plan and attempt among young adults in the Mexico City metropolitan area. Epidemiol Psychiatr Sci. 2017;26(6):635-43. https://doi. org/10.1017/S2045796016000603
Patel V, Saxena S, Lund C, Thornicroft G, Baingana F, Bolton P, et al. The Lancet Commission on global mental health and sustainable development. Lancet. 2018;392(10157):1553-98. https://doi.org/10.1016/S0140- 6736(18)31612-X
Reilly S, Planner C, Gask L, Hann M, Knowles S, Druss B, et al. Collaborative care approaches for people with severe mental illness. Cochrane Database Syst Rev. 2013;(11):1-51. https://doi.org/10.1002/14651858. CD009531
Urquieta-Salomón JE, Villarreal HJ. Evolution of health coverage in Mexico: Evidence of progress and challenges in the Mexican health system. Health Policy Plan. 2016;31(1):28-36. https://doi.org/10.1093/heapol/czv015
Durán-Arenas L, Salinas-Escudero G, Granados-García V, Martínez- Valverde S. La transformación del sistema de salud con base en la atención primaria. Gac Med Mex. 2012;148(6):552-7 [cited February 19 2020]. Available from: https://www.anmm.org.mx/GMM/2012/n6/ GMM_148_2012_6_552-557.pdf
Heinze G, Bernard-Fuentes N, Carmona-Huerta J, Chapa G del C, Guízar-Sánchez DP. Physicians specializing in psychiatry of Mexico: An update 2018. Salud Ment. 2019;42(1):13-23. https://doi.org/10.17711/ SM.0185-3325.2019.003
World Health Organization. Informe sobre el sistema de salud mental en México. México: Secretaría de Salud de México, Organización Panamericana de la Salud, Organización Mundial de la Salud, 2011 [cited February 19 2020]. Available from: https://www.who.int/mental_health/ who_aims_country_reports/who_aims_report_mexico_es.pdf?ua=1
Heinze-Martin G, Olmedo-Canchola VH, Bazán-Miranda G, Bernard- Fuentes NA, Guízar-Sánchez DP. Los médicos especialistas en México. Gac Med Mex. 2018;154:342-51. https://doi.org/10.24875/GMM.18003770
Berenzon-Gorn S, Saavedra-Solano N, Medina-Mora ME, Aparicio- Basaurí V, Galván-Reyes J. Evaluación del sistema de salud mental en México: ¿Hacia dónde encaminar la atención? Rev Panam Salud Publica/ Pan Am J Public Heal. 2013;33(4):252-8. https://doi.org/10.1590/S1020- 49892013000400003
Snyder D, Ballard E, Stanley I, Ludi E, Kohn-Goodbout J, Pao M, et al. Patient opinions about screening for suicide risk in the adult medical inpatient unit. Physiol Behav. 2017;44(3):364-72. https://doi.org/10.1007/ s11414-016-9498-7
Bruffaerts R, Demyttenaere K, Hwang I, Chiu WT, Sampson N, Kessler RC, et al. Treatment of suicidal people around the world. Br J Psychiatry. 2011;199(1):64-70. https://doi.org/10.1192/bjp.bp.110.084129
Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: A review of the evidence. Am J Psychiatry. 2002;159(6):909-16. https://doi.org/10.1176/appi.ajp.159.6.909
Ahmedani BK, Westphal J, Autio K, Elsiss F, Peterson EL, Beck A, et al. Variation in patterns of health care before suicide: A population case-control study. Prev Med (Baltim). 2019;127:105796. https://doi.org/10.1016/j. ypmed.2019.105796
Younes N, Melchior M, Turbelin C, Blanchon T, Hanslik T, Chan Chee C. Attempted and completed suicide in primary care: Not what we expected? J Affect Disord. 2015;170:150-4. https://doi.org/10.1016/j. jad.2014.08.037
Falanga R. Co-presence of a family doctor and psychologist in the management of patients with psychosocial and somatic symptom disorders. Med Sci Pulse. 2019;13(3):1-7. https://doi.org/10.5604/01.3001.0013.6016
Jiménez-Sola E, Martínez-Alés G, Román-Mazuecos E, Sánchez- Castro P, de Dios-Perrino C, Rodríguez-Vega B, et al. Implementation of a suicide risk prevention program in the Autonomous Community of Madrid. The ARSUIC experience. Actas Esp Psiquiatr. 2019;47(5):229-35 [cited February 19 2020]. Available from: https://www.actaspsiquiatria.es/ repositorio/21/122/ENG/21-122-ENG-229-35-825889.pdf
Esponda GM, Hartman S, Qureshi O, Sadler E, Cohen A, Kakuma R. Barriers and facilitators of mental health programmes in primary care in low-income and middle-income countries. The Lancet Psychiatry. 2020;7(1):78-92. https://doi.org/10.1016/S2215-0366(19)30125-7
Babatunde GB, van Rensburg AJ, Bhana A, Petersen I. Barriers and Facilitators to child and adolescent mental health services in low-andmiddle- income countries: A scoping review. Glob Soc Welf. 2021;8:29-46. https://doi.org/10.1007/s40609-019-00158-z
Davaasambuu S, Phillip H, Ravindran A, Szatmari P. A scoping review of evidence-based interventions for adolescents with depression and suicide related behaviors in low and middle income countries. Community Ment Health J. 2019;55(6):954-72. https://doi.org/10.1007/s10597-019-00420-w
Patel V, Belkin GS, Chockalingam A, Cooper J, Saxena S, Unützer J. Grand challenges: Integrating mental health services into priority health care platforms. PLoS Med. 2013;10(5):e1001448. https://doi.org/10.1371/ journal.pmed.1001448
Mann JJ, Haas A, Mehlum L, Phillips M. Suicide prevention strategies 2016. JAMA. 2005;294(16):2064-74. https://doi.org/10.1001/ jama.294.16.2064
Rihmer Z, Belsõ N, Kiss K. Strategies for suicide prevention. Curr Opin Psychiatry. 2002;15(1):83-7. http://lefnet.hu/resources/userfiles/file/ Rihmer/CurrOpinPsychiat-2002.pdf
Rutz W. Preventing suicide and premature death by education and treatment. J Affect Disord. 2001;62(1-2):123-9. https://doi.org/10.1016/ s0165-0327(00)00356-6
Robles R, Lopez-Garcia P, Miret M, Cabello M, Cisneros E, Rizo A, et al. WHO-mhGAP Training in Mexico: Increasing knowledge and readiness for the identification and management of depression and suicide risk in primary care. Arch Med Res. 2019;50(8):558-66. https://doi.org/10.1016/j. arcmed.2019.12.008
Bower P, Gilbody S. Managing common mental health disorders in primary care: conceptual models and evidence base. Br Med J. 2005;330:839- 42. https://doi.org/10.1136/bmj.330.7495.839
Gunn J, Diggens J, Hegarty K, Blashki G. A systematic review of complex system interventions designed to increase recovery from depression in primary care. BMC Health Serv Res. 2006;6(88):1-11. https://doi. org/10.1186/1472-6963-6-88
Overbeck G, Kousgaard MB, Davidsen AS. The work and challenges of care managers in the implementation of collaborative care: A qualitative study. J Psychiatr Ment Health Nurs. 2018;25(3):167-75. https://doi. org/10.1111/jpm.12449
Wittink MN, Levandowski BA, Funderburk JS, Chelenza M, Wood JR, Pigeon WR. Team-based suicide prevention: lessons learned from early adopters of collaborative care. J Interprof Care. 2019;34(3):400-406. https://doi.org/10.1080/13561820.2019.1697213
Reeves S, Lewin S, Espin S, Zwarenstein M. Interprofessional teamwork in health and social care. Interprofessional Teamwork for Health and Social Care. Oxford: Blackwell Publishing, 2010. https://doi. org/10.1002/9781444325027.FMATTER
Archer J, Bower P, Gilbody S, Lovell K, Richards D, Gask L, et al. Collaborative care for depression and anxiety. Cochrane Libr. 2012;(10):1-280. https://doi.org/10.1002/14651858.CD006525.pub2
Chew-Graham CA, Lovell K, Roberts C, Baldwin R, Morley M, Burns A, et al. A randomized controlled trial test the feasibility of a collaborative care model for the management of depression in older people. Br J Gen Pract. 2007;57(538):364-70. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC2047010/pdf/bjpg57-364.pdf
Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006;166:2314-21. https://doi.org/10.1001/ archinte.166.21.2314
Richards DA, Hill JJ, Gask L, Lovell K, Chew-Graham C, Bower P, et al. Clinical effectiveness of collaborative care for depression in UK primary care (CADET): Cluster randomized controlled trial. BMJ. 2013;347(7922):1-10. https://doi.org/10.1136/bmj.f4913
Gensichen J, Beyer M, Muth C, Gerlach FM, Von Korff M, Ormel J. Case management to improve major depression in primary health care: A systematic review. Psychol Med. 2006;36(1):7-14. https://doi.org/10.1017/ S0033291705005568
Von Korff M, Goldberg D. Improving outcomes in depression: The whole process of care needs to be enhanced. Br Med J. 2001;323:948-9. https://doi.org/10.1136/bmj.323.7319.948
Gilbody S, Whitty P, Grimshaw J, Thomas R. Educational and organizational interventions to improve the management of depression in primary care: A systematic review. J Am Med Assoc. 2003;289(23):3145-51. https:// doi.org/10.1001/jama.289.23.3145
Unützer J, Katon W, Williams JW, Callahan CM, Harpole L, Hunkeler EM, et al. Improving primary care for depression in late life: The design of a multicenter randomized trial. Med Care. 2001;39(8):785-99. https://doi. org/10.1001/jama.288.22.2836
Unützer J, Katon W, Callahan CM, Williams JW, Hunkeler E, Harpole L, et al. Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. J Am Med Assoc. 2002;288(22):2836-45. https://doi.org/10.1097/00005650-200108000- 00005
Diamond P. A new direction in depression treatment in Minnesota. Psychiatr Serv. 2010;61(10):1042-4. https://doi.org/10.1176/ ps.2010.61.10.1042
Dueweke AR, Bridges AJ. Suicide interventions in primary care: A selective review of the evidence. Fam Syst Heal. 2018;36(3):289-302. https:// doi.org/10.1037/fsh0000349
Alexopoulos G, Reynolds III C, Bruces M, Katz I, Raue P, Mulsant B, et al. Reducing suicidal ideation and depression in older primary care patients: 24-month outcomes of the PROSPECT study. Am J Psychiatry. 2009;166(8):882-90. https://doi.org/10.1176/appi.ajp.2009.08121779
Bruce ML, Ten Have TR, Reynolds CF, Katz II, Schulberg HC, Mulsant BH, et al. Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: A randomized controlled trial. J Am Med Assoc. 2004;291(9):1081-91. https://doi.org/10.1001/jama.291.9.1081
Bruce ML, Pearson JL. Designing an intervention to prevent suicide: PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial). Dialogues Clin Neurosci. 1999;1(2):100-12 [cited February 19 2020]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3181574/pdf/DialoguesClinNeurosci-1-100.pdf
Jobes DA. The collaborative assessment and management of suicidality (CAMS): An evolving evidence-based clinical approach to suicidal risk. Suicide Life-Threatening Behav. 2012;42(6):640-53. https://doi.org/10.1111/ j.1943-278X.2012.00119.x
Saavedra-Solano N, Berenzon-Gorn S, Galván-Reyes J. Salud mental y atención primaria en México. Posibilidades y retos. Aten Primaria. 2016;48(4):258-64. https://doi.org/10.1016/j.aprim.2015.05.005
Shannonhouse L, Zeligman M, Scherma H, Luke M, Schweiger W, McDonald CP, et al. Mental health facilitator service implementation in Mexico: a community mental health strategy. J Couns Leadersh Advocacy. 2019;6(2):114-28. https://doi.org/10.1080/2326716X.2019.1637303