A systematic review and meta-analysis of diagnostic test accuracy of mental health screening tools applicable to adolescents in sub-Saharan Africa - Summary - MDSpire

A systematic review and meta-analysis of diagnostic test accuracy of mental health screening tools applicable to adolescents in sub-Saharan Africa

  • By

  • Jean Berchmans Niyibizi

  • Stefan Jansen

  • Elin Charlotte Larsson

  • Japhet Ntabanganyimana

  • Malachi Ochieng Arunda

  • June 16, 2026

  • 0 min

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Objective:

To provide an evidence-based inventory of effective mental health screening tools applicable to adolescents in sub-Saharan Africa aged 12–18 years.

Approach:
    Key Findings:
    • 128 studies covering 26 mental health disorders were included in the systematic review.
    • 60% of the studies were rated high risk of bias on at least one domain of the QUADAS-2 tool.
    • Only 21 of 48 SSA countries validated at least one screening tool.
    • Meta-analysis included 36 articles evaluating four tools focused on depression: EPDS, PHQ-9/PHQ-2, and K-10.
    • Heterogeneity was present across validation studies for all tools in the meta-analyses.
    Interpretation:

    Remove unsupported conclusions.

    Limitations:
    • High risk of bias in a significant proportion of included studies.
    • Limited number of countries in SSA that have validated mental health screening tools.
    Conclusion:

    Remove recommendations not found in the source.

    Sources:

Original Source(s)

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