{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:17:01Z","timestamp":1788239821317,"version":"build-2803163510"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Perinatal mental illness affects up to 20% of mothers and 10% of fathers and is associated with adverse parental and child outcomes. Digital health technologies enabling self-identification of perinatal mental illness risk may improve early detection and reduce access barriers. This systematic review evaluated the effectiveness and safety of digital health technologies for self-identification of the risk of perinatal mental illness and examined social, organizational, and legal aspects relevant to their implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review with narrative synthesis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement and Cochrane Handbook for Systematic Reviews of Interventions. Searches were performed in PubMed, CINAHL, Web of Science, PsycINFO, and the Cochrane Library, complemented by gray literature screening and hand search. Methodological quality was assessed using established appraisal tools for the primary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2,762 records identified, seven publications were included. Only one prospective cohort study evaluated effectiveness, showing fair to moderate agreement between digital and conventional methods, with increased risk of bias. Safety data were limited as well. Six studies consistently reported favorable user-related outcomes. No empirical evidence addressed organizational or legal implementation aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Despite consistently positive user-related findings, robust evidence on effectiveness, safety, and system-level implementation is lacking. High-quality research is required before responsible integration into routine perinatal mental healthcare can be considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/doi.org\/10.17605\/OSF.IO\/H78YQ<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1824057","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:27:13Z","timestamp":1788236833000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital health technologies for self-identification of the risk of perinatal mental illness: a systematic review"],"prefix":"10.3389","volume":"14","author":[{"given":"Sophie","family":"Hafner","sequence":"first","affiliation":[{"name":"Paracelsus Medical Private University, Master Programme Public Health, Center for Public Health and Healthcare Research","place":["Salzburg, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yui","family":"Hidaka","sequence":"additional","affiliation":[{"name":"Austrian Institute for Health Technology Assessment GmbH (AIHTA)","place":["Vienna, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Lillian","family":"Paul","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Division of Psychiatry I, Medical University of Innsbruck","place":["Innsbruck, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"H\u00f6rtnagl","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy, Psychosomatics, and Medical Psychology, Division of Psychiatry I, Medical University of Innsbruck","place":["Innsbruck, Austria"]},{"name":"Tirol Kliniken","place":["Innsbruck, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Zechmeister-Koss","sequence":"additional","affiliation":[{"name":"Austrian Institute for Health Technology Assessment GmbH (AIHTA)","place":["Vienna, Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1775","DOI":"10.1016\/S0140-6736(14)61276-9","article-title":"Non-psychotic mental disorders in the perinatal period","volume":"384","author":"Howard","year":"2014","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1542\/peds.2005-2948","article-title":"Individual and combined effects of postpartum depression in mothers and fathers on parenting behavior","volume":"118","author":"Paulson","year":"2006","journal-title":"Pediatrics"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"248","DOI":"10.3389\/fpsyt.2017.00248","article-title":"Economic and health predictors of national postpartum depression prevalence: a systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries","volume":"8","author":"Hahn-Holbrook","year":"2017","journal-title":"Front Psych"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e17011","DOI":"10.2196\/17011","article-title":"Mobile health for perinatal depression and anxiety: scoping review","volume":"22","author":"Hussain-Shamsy","year":"2020","journal-title":"J Med Internet Res"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1164","DOI":"10.7196\/samj.2017.v106i12.12129","article-title":"Maternal mental health and the first 1,000\u202fdays","volume":"106","author":"Turner","year":"2016","journal-title":"S Afr Med J"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"894","DOI":"10.1017\/S0033291721001185","article-title":"What is a mental disorder? 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