"Research funding in mental health in Brazil: a retrospective analysis from 2002 to 2022."
Keywords: research funding, mental health, depressive disorders, anxiety disorder, suicide, race, ethnicity
Abstract Introduction: The scenario of mental illness in Brazil reinforces the urgency of funding research to address knowledge gaps and contribute to the development of new interventions. Objective: The aim of this study was to analyze the funding of mental health research carried out by the Department of Science and Technology of the Ministry of Health (DECIT/MS) and institutional partners, including analysis of the intersection with race and ethnicity, and to analyze research on depressive, anxiety, and suicide disorders from 2002 to 2022. Methodology: Data were analyzed regarding the distribution of financial resources across regions and federated units; beneficiary institutions; funding modalities; and types and themes of research. For this purpose, a quantitative, descriptive, and retrospective research was conducted on mental health research funding, according to the classification of the International Classification of Diseases (ICD-11), using data from the Health Research repository. Results: A total of 408 mental health research projects were funded with an investment of R$121.3 million and 71 research projects on depressive, anxiety, and suicide disorders with a funding value of R$21.8 million. Among the mental health research projects, 12 adopted an ethnic-racial perspective with an investment of R$1.7 million. The analysis of funding by Prais-Winster generalized linear regression showed a stationary trend for both mental health research and research on depressive, anxiety, and suicide disorders. Using the Kruskal-Wallis UNIVERSIDADE DE BRASÍLIA/Faculdade de Ceilândia Programa de Pós-Graduação em Ciências e Tecnologias em Saúde test, corrected by the Bonferroni test, it was found: a difference in resource distribution by funding modality and among regions (p<0.05). Funding by National Funding stood out (54.2% - mental health and 83.0% - depressive, anxiety, and suicide disorders). Resources were predominantly allocated to the South and Southeast regions (75.1% - mental health and 82.8% - depressive, anxiety, and suicide disorders) and to institutions in these regions (São Paulo, Minas Gerais, and Rio Grande do Sul). Regarding types of research, there was a predominance of funding for clinical research (50.1% - mental health and 70.2% - depressive, anxiety, and suicide disorders) and for population and public health research for research with an ethnic-racial focus (69.6%). The most studied research lines were related to the magnitude, dynamics, and understanding of mental health problems (47.5% - mental health; 37.5% - depressive, anxiety, and suicide disorders; and 36.7% - mental health with a focus on race and ethnicity). Conclusion: Funding for mental health research and research on depressive, anxiety, and suicide disorders show stability, are concentrated in the South-Southeast axis, and in the National Funding contracting modality. Mental health research with an intersection with race and ethnicity differs in distribution by type of research. Increasing research on mental health research funding can contribute to improving mental health care for the population, but it is necessary to reduce regional and ethnic-racial disparities. Keywords: Health research, research funding, mental health, depressive disorders, anxiety disorders, suicide, race, ethnicity