The British Journal of Psychiatry (2006) 188: 81-82. doi: 10.1192/bjp.bp.105.011221
© 2006 The Royal College of Psychiatrists
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SHORT REPORT

The 10/90 divide in mental health research: trends over a 10-year period

SHEKHAR SAXENA, MD, MRCPsych

Mental Health: Evidence and Research, Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland

GUILLERMO PARAJE, DPhil

Equity in Health Group, World Health Organization, Geneva, Switzerland

PRATAP SHARAN, MD, PhD

Mental Health: Evidence and Research, Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland

GHASSAN KARAM, BSc

Health Research Systems Analysis, Department of Research Policy and Cooperation, World Health Organization, Geneva, Switzerland

RITU SADANA, MSPH, DS

Health Research Systems Analysis, Evidence for Information and Policy Cluster, World Health Organization, Geneva, Switzerland

Correspondence: Dr Shekhar Saxena, Coordinator, Mental Health: Evidence and Research, Department of Mental Health and Substance Abuse, World Health Organization, CH-1211, Geneva, Switzerland. Fax +41 22 7914160; e-mail: saxenas{at}who.int

Declaration of interest None.

Summary A search (precision value 94%, recall value 93%) of the ISI Web of Science database (1992-2001) revealed that mental health publications accounted for 3-4% of the health literature. A 10/90 divide in internationally accessible mental health literature was evident and remained undiminished through 10 years as low- and middle-income countries (n=152) contributed only 6%, high-income countries (n=54) 94%, and 14 leading high-income countries (with more than 1% contribution for majority of years under consideration) contributed 90% of internationally accessible mental health research. Steps should be taken to improve the research infrastructure and capacity to conduct and disseminate mental health research in general, and on a priority basis in low- and middle-income countries.


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