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Clinical Atlas Prestige · Evidence-first

Psych VivasPublic and community psychiatry — school and workplace mental health

Psych Vivas · Public and community psychiatry — school and workplace mental health

School and workplace mental health — structured clinical viva

Fellowship viva on school suicide prevention evidence, multi-tier systems, workplace risk control, RTW, and ethics of screening/disclosure.

clinical
On this page & tools

Target exams

FRANZCPMRCPsychABPNMD-DNB

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
You advise a secondary school principal and an HR director from a manufacturing firm. School: two students hospitalised after overdoses; teachers request 'suicide screening for everyone'. Workplace: rising depression sick leave; managers want compulsory disclosure of diagnoses. Discuss MTSS, SEYLE evidence, whole-school principles, workplace psychosocial risks, organisational vs individual interventions, RTW, disclosure/stigma, burnout vs depression, and crisis red flags.

Interpretation

Reveal interpretation

School ask. Universal "screen everyone" without treatment and crisis capacity is ethically weak. SEYLE found professional screening did not outperform control on primary suicide outcomes, whereas YAM (universal awareness/skills) did. Prefer multi-tier whole-school approach: climate, SEL, staff pathways, indicated care, postvention — not a single test day.[1][2]

Workplace ask. Compulsory diagnosis disclosure is not a mental health strategy and risks discrimination and concealment. Address psychosocial risks (job strain, support, bullying, hours, insecurity), train managers in supportive conversation, provide confidential care pathways, and use functional RTW planning.[3][4][5]

Burnout language. Exhaustion, cynicism, inefficacy — occupational framing; still assess major depression and suicide risk.[6]

Close. Offer dual workstreams: school MTSS pilot with crisis protocol; workplace risk audit plus graded RTW clinic interface; metrics for 6–12 months.[1][4]

Key points

SEYLE pearl

YAM worked on primary outcomes; screening/QPR did not match that result in main analysis.

Work pathogen

Redesign demands, control, support, rewards; do not only run resilience days.

Disclosure

Plan voluntary, safety-focused disclosure; coercion drives concealment.
[1] [3] [5]

References

  1. [1]Wasserman D, Hoven CW, Wasserman C, et al. School-based suicide prevention programmes: the SEYLE cluster-randomised, controlled trial Lancet, 2015.PMID 25579833
  2. [2]Weare K, Nind M Mental health promotion and problem prevention in schools: what does the evidence say? Health Promot Int, 2011.PMID 22079935
  3. [3]Harvey SB, Modini M, Joyce S, et al. Can work make you mentally ill? A systematic meta-review of work-related risk factors for common mental health problems Occup Environ Med, 2017.PMID 28108676
  4. [4]Joyce S, Modini M, Christensen H, et al. Workplace interventions for common mental disorders: a systematic meta-review Psychol Med, 2016.PMID 26620157
  5. [5]Brohan E, Henderson C, Wheat K, et al. Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace BMC Psychiatry, 2012.PMID 22339944
  6. [6]Maslach C, Leiter MP Understanding the burnout experience: recent research and its implications for psychiatry World Psychiatry, 2016.PMID 27265691