Active Mental Health

Protecting African youth who are NEET against depression: An investigation of differentially impactful, multisystemic resilience-enablers

In plain English

AI plain-English summary

A quarter of a million African youth who are out of school and out of work will be tracked for two years to map the precise mix of risks and resources that keeps some of them free from depression while others sink into it. This matters because Africa’s young people are on track to become the world’s largest youth population, yet those who are not in education, employment, or training are disproportionately vulnerable to depression. Researchers already know that multiple systems—physical, psychological, social, institutional, and environmental—influence mental health, but they do not know which specific combinations of these factors predict stable low depression versus chronic worsening depression in this group. If the project succeeds, it will identify the most protective combinations of resilience-enablers for African youth who are NEET. That knowledge could inform precision interventions—targeted support programmes that address the specific systemic weaknesses driving depression in this population, rather than one-size-fits-all approaches. The work is fundamentally about understanding how resilience works in a real-world context, with the practical goal of pre-empting depression before it takes hold.

View original technical description
Our team members are world leaders in studying multisystemic resilience and youth wellbeing, but we still do not know which precise combination of physical, psychological, social, institutional, and environmental risks and resources predicts stable low/improving versus chronic high/worsening depression trajectories among African youth. Discovery of this combination is urgently needed: within 30 years Africa’s young people are likely to be the world’s largest youth population, but at least 1 in 5 African youth is ‘not in education, employment, or training’ (NEET) making them disproportionately vulnerable to depression. To conduct this multisystemic research, we will follow 18-24-year-old youth who are NEET in Nigeria and South Africa (N=2400) for 24 months to identify the network of risk factors and resilience resources that predict depression. Then, to explore resilience-enabling mechanisms further, we will follow for 12 months a subsample who report the highest chronic risk/elevated depression [N=300] versus highest chronic risk/minimal depression (i.e., those who show resilience) [N=300]. The smaller purposeful sample will allow us to gather more contextually specific data on combinations of systemic factors that have the most protective value. This work is vital to pre-empting depression and informing precision interventions tailored to the needs of African youth who are NEET.

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Researchers

Dov Stekel (EPMC Awardee)Michael Ungar (EPMC Awardee)Olanrewaju Olaniyan (EPMC Awardee)Olufunmilayo Fawole (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

Identifying Depression Early in Adolescence (IDEA) King's-Brazil-Nepal-Nigeria network
NIHR Global Health Research Group on Interventions for Youth with Depression and Anxiety Disorders in African Countries
Digital delivery of Behavioural Activation to overcome depression and facilitate social and economic transitions
The influence of Executive Function on Mental Health in vulnerable adolescents: a multi-site low and middle income country approach
Expanding mental health counselling from primary care to reach at-risk youth (Expanding MINDS-Y).

Original classification

Discovery Award

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