Mental Health Problems among Young People—A Scoping Review of Help-Seeking

Westberg, Katrin Häggström; Nyholm, Maria; Nygren, Jens M.; Svedberg, Petra

doi:10.3390/ijerph19031430

Cited by 49 publications

(22 citation statements)

References 38 publications

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“…The same barrier was commonly reported by a third of the youth with a higher degree of depression and suicidality in one study [21] and the fth in another [16]. Possible explanations could be provided; young people aspire to hold more responsibility for their health problems, aiming for acquiring more strength and weakness avoidance [22], [23]. Besides, the majority of the Egyptian students in a previous study showed dissatisfaction with the provided mental health care system [24]; this might urge them to search for alternative solutions.…”

Section: Discussionmentioning

confidence: 57%

Barriers to mental health help-seeking among young-adult medical students in Egypt: a cross-sectional study

Elsaeidy

Rabie

Adwi

et al. 2023

Preprint

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Purpose High levels of mental distress were reported among medical students, however, only a small portion decides to seek help. This study aims at identifying the most diagnosed mental disorders among medical students in Egypt, recognizing their family attitudes and the major barriers that deter them from help seeking. Method This is a cross-sectional study conducted on Egyptian medical students from different universities. Each student filled out a questionnaire assessing the sociodemographic factors, the presence of previously diagnosed mental disorder, the barriers to mental health help-seeking using 27 items from the 30-item Barriers to Access to Care Evaluation (BACE), and the family's attitude towards mental health. Result 1037 students filled completed the questionnaire, and 23.4% mentioned being previously diagnosed with mental illness. The top three major barriers were attitudinal, reflecting a tendency for self-reliance, and a low preferability for emotional expressiveness. The fourth major barrier was stigma-related, representing a fear of what the family might say or think. Most of the students’ families had a positive attitude and support for mental health. The parent’s mental health attitude was positively associated with higher levels of education. Conclusion Multiple attitudinal barriers represented hindrance to mental health help-seeking and reflected self-reliance tendency among the study participants. This self-reliance proclivity needs to be investigated since it is a common theme noticed among the young generations, however, it could be used for designing self-help programs that strengthen mental health integrity and literacy.

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Section: Discussionmentioning

confidence: 57%

Barriers to mental health help-seeking among young-adult medical students in Egypt: a cross-sectional study

Elsaeidy

Rabie

Adwi

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…It is widely reported that CYP who need support for their mental health do not always access services (Anderson, Howarth, Vainre, Jones, & Humphrey, 2017; Lewis, 2021; Westberg, Nyholm, Nygren, & Svedberg, 2022). Previous reviews exploring CYP's experiences of help‐seeking for mental health problems showed that support structures are often seen as inaccessible and unresponsive (Anderson et al, 2017; Westberg et al, 2022). Our systematic review identified numerous moderate confidence synthesis statements related to CYP's barriers and facilitators to seeking and accessing appropriate support at the point of crisis.…”

Section: Discussionmentioning

confidence: 99%

Review: Crisis responses for children and young people – a systematic review of effectiveness, experiences and service organisation (CAMH‐Crisis)

Edwards

Carrier

Csontos

et al. 2023

Child Adoles Ment Health

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BackgroundIn England, one in six children aged 5–19 has a probable diagnosable mental health disorder. This is a major public health problem, with multiple agencies adopting varying approaches to care delivery for children and young people (CYP) in crisis.ObjectivesTo examine the organisation of crisis services across education, health, social care and voluntary sectors; the experiences and perceptions of CYP, families and staff; the effectiveness of current approaches to care and the goals of crisis intervention.MethodsA systematic review of all relevant English language evidence regarding the provision and receipt of crisis support for CYP aged 5–25 (PROSPERO‐CRD42019160134). Seventeen databases were searched from 1995 to 2021 and relevant UK‐only grey literature was identified. Critical appraisal was conducted using appropriate design specific appraisal tools. A narrative approach to synthesis was conducted.ResultsIn total, 138 reports (48 reports covering 42 primary research studies; 36 reports covering 39 descriptive accounts of the organisation services and 54 UK‐only grey literature reports) were included. The evidence suggests that crisis services were organised as follows: triage/assessment‐only, digitally mediated support approaches, and intervention approaches and models. When looking at experiences of crisis care, four themes were identified: (a) barriers and facilitators to seeking and accessing appropriate support; (b) what children and young people want from crisis services; (c) children's, young people's and families' experiences of crisis services; and (d) service provision. In determining effectiveness, the findings are summarised by type of service and were generated from single heterogenous studies. The goals of crisis services were identified.DiscussionDespite a lack of high‐quality international studies, findings suggest that support prior to reaching crisis point is important. From this work, various aspects of crisis care have been identified that can be incorporated into existing services across education, health, social care and the voluntary sector.

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“…An array of scientifically validated treatment protocols exist for intervention across the range of psychiatric disorders and diagnoses; however, their efficacy can be blunted by numerous impediments to successful outcome. These may include social barriers such as actual or perceived stigma, practical complications regarding accessibility and availability of suitable treatment, and attrition, among others (Westberg et al , 2022; Hamilton et al , 2022) and have been exacerbated by the COVID-19 pandemic (Pierce et al , 2021; Probst et al , 2020; Czeisler et al , 2020).…”

Section: Introductionmentioning

confidence: 99%