"Razones para Vivir": Hybrid implementation study in Colombia for health governance and improving suicidal behavior.
Objectives. To describe the implementation of a strategy to promote reasons for living and to assess its impact on acute mental health symptoms, psychosocial disability, and perceptions of health services. Methods. A quasi-experimental methodology that incorporates methods from a Type I hybrid imple...
| Published in: | Pan American Journal of Public Health Vol. 49; pp. 1 - 10 |
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| Main Authors: | , , |
| Format: | Article |
| Published: |
World Health Organization
2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194015695&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194015695 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: 2025 vid: 49 pid: 437 pub: World Health Organization artinfo: ui: 194015695 10.26633/RPSP.2025.46 ppf: 1 ppct: 9 formats: tig: atl: "Razones para Vivir": Hybrid implementation study in Colombia for health governance and improving suicidal behavior. aug: au: Agudelo-Hernández, Felipe Salazar-Vieira, Luz María Plata-Casas, Laura Inés affil: Universidad de Manizales, Manizales, Colombia Pan American Health Organization, Bogotá, Colombia Ministry of Health and Social Protection, Bogotá, Colombia su: Colombia Suicidal behavior Mental illness Health policy Research implementation Mental health Mental health promotion sug: subj: Suicidal behavior Mental illness Health policy Research implementation Mental health Colombia Administration of Public Health Programs Offices of Mental Health Practitioners (except Physicians) Mental health promotion keyword: hope Implementation science mental health services motivation personal satisfaction Suicide prevention ciencia de la implementación esperanza motivación Prevención del suicidio satisfacción personal servicios de salud mental ciência da implementação Colômbia esperança motivação Prevenção do suicídio satisfação pessoal serviços de saúde mental hope Implementation science mental health services motivation personal satisfaction Suicide prevention ciencia de la implementación esperanza motivación Prevención del suicidio satisfacción personal servicios de salud mental ciência da implementação Colômbia esperança motivação Prevenção do suicídio satisfação pessoal serviços de saúde mental ab: Objectives. To describe the implementation of a strategy to promote reasons for living and to assess its impact on acute mental health symptoms, psychosocial disability, and perceptions of health services. Methods. A quasi-experimental methodology that incorporates methods from a Type I hybrid implementation study. The Caldas Scale, Self-Reporting Questionnaire (SRQ-20), and the Zarit Caregiver Burden Scale were applied to people with a history of mental disorder and suicidal ideation, before and after the implementation of the "Razones para Vivir" strategy, to determine psychosocial disability associated with mental disorders and caregiver burden. Results. The Razones para Vivir strategy has modified the relationship between the quality and perception of health services and psychosocial disability associated with mental disorders. Large effect sizes were found for the variables of occupational disability (r = 0.68), social disability (r = 0.55), therapeutic adherence (r = 0.71), and perception of services (r = 0.51), with a moderate effect size for acute mental health symptoms (r = 0.41). Conclusions. The implementation of the strategy contributed to institutional involvement in promoting mental health, in addition to the improvement of acute mental health symptoms and some psychosocial disability variables. Mental health promotion strategies can be integrated with implementation frameworks to facilitate their development in specific sociopolitical contexts. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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