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      Help-Seeking Behaviors of Transition-Aged Youth for Mental Health Concerns: Qualitative Study

      research-article
      , BSc, MPH 1 , 2 , , BHSc, MPH 2 , 3 , , BSc, MHI 2 , 4 , , MSW 2 , , MPH 2 , , MSW, RSW 5 , 6 , , RN, PhD 5 , 6 , 7 , , PhD 5 , 6 , , BA 2 , , MD 6 , 8 , , BHSc, MHI 2 , 4 , 9 , , BScN, MSc 8 , , BSc, MPH 2 , , PhD, MD 6 , 10 , , PhD 2 , 4 , 6 , 11 ,
      (Reviewer), (Reviewer)
      Journal of Medical Internet Research
      JMIR Publications
      mental health, students, adolescent, substance abuse, eHealth, mHealth, mobile apps, help-seeking behavior, social stigma, social support

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          Abstract

          Background

          Transition-aged youth are particularly vulnerable to mental health problems, yet they are one of the least likely demographic groups to seek help.

          Objective

          The aim of this study is to explore the influences on and patterns in help-seeking for mental health concerns among transition-aged youth who attend postsecondary schools in Canada.

          Methods

          A qualitative research design was used, involving 12 semistructured focus groups with transition-aged youth (17-29 years) who attended postsecondary schools in Canada. A thematic analysis was conducted to code the transcripts and develop themes.

          Results

          Four main themes and subthemes regarding the process and experience of help-seeking were generated: (1) the influence of formal service providers (accessibility and experiences), (2) the influence of social factors (system navigation and stigma), (3) the influence of health literacy (symptom recognition, acting on symptoms, digital tools and the internet, and mental health awareness campaigns), and (4) the influence of low-intensity sources of support, namely, self-help.

          Conclusions

          Transition-aged youth seek help for mental health problems in different ways. Despite efforts to improve access to mental health services, transition-aged youth continue to face barriers to accessing these services, especially formal sources of support. The factors identified in this study that either hinder or facilitate help-seeking have pragmatic implications for developing help-seeking interventions and delivering mental health services for this population. In addition to other facilitators, family physicians are an important resource in the help-seeking process. Furthermore, digital help-seeking tools have unique characteristics that may make them an important source of support for transition-aged youth.

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          Most cited references54

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          Using thematic analysis in psychology

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            Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review

            Background Adolescents and young adults frequently experience mental disorders, yet tend not to seek help. This systematic review aims to summarise reported barriers and facilitators of help-seeking in young people using both qualitative research from surveys, focus groups, and interviews and quantitative data from published surveys. It extends previous reviews through its systematic research methodology and by the inclusion of published studies describing what young people themselves perceive are the barriers and facilitators to help-seeking for common mental health problems. Methods Twenty two published studies of perceived barriers or facilitators in adolescents or young adults were identified through searches of PubMed, PsycInfo, and the Cochrane database. A thematic analysis was undertaken on the results reported in the qualitative literature and quantitative literature. Results Fifteen qualitative and seven quantitative studies were identified. Young people perceived stigma and embarrassment, problems recognising symptoms (poor mental health literacy), and a preference for self-reliance as the most important barriers to help-seeking. Facilitators were comparatively under-researched. However, there was evidence that young people perceived positive past experiences, and social support and encouragement from others as aids to the help-seeking process. Conclusions Strategies for improving help-seeking by adolescents and young adults should focus on improving mental health literacy, reducing stigma, and taking into account the desire of young people for self-reliance.
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              What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies

              Psychological Medicine, 45(1), 11-27
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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J Med Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                October 2020
                5 October 2020
                : 22
                : 10
                : e18514
                Affiliations
                [1 ] School of Population and Public Health Simon Fraser University Burnaby, BC Canada
                [2 ] Office of Education Centre for Addiction and Mental Health Toronto, ON Canada
                [3 ] Schulich School of Medicine & Dentistry Western University London, ON Canada
                [4 ] Institute of Health Policy, Management & Evaluation University of Toronto Toronto, ON Canada
                [5 ] Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health Centre for Addiction and Mental Health Toronto, ON Canada
                [6 ] Department of Psychiatry University of Toronto Toronto, ON Canada
                [7 ] Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto, ON Canada
                [8 ] Health and Wellness University of Toronto Toronto, ON Canada
                [9 ] Information Management Group Centre for Addiction and Mental Health Toronto, ON Canada
                [10 ] Slaight Family Centre for Youth in Transition Centre for Addiction and Mental Health Toronto, ON Canada
                [11 ] Education, Technology & Innovation University Health Network Toronto, ON Canada
                Author notes
                Corresponding Author: David Wiljer David.Wiljer@ 123456uhn.ca
                Author information
                https://orcid.org/0000-0003-0488-7238
                https://orcid.org/0000-0001-9449-3683
                https://orcid.org/0000-0003-2417-4112
                https://orcid.org/0000-0002-7281-7170
                https://orcid.org/0000-0002-0180-679X
                https://orcid.org/0000-0003-1342-9757
                https://orcid.org/0000-0002-2822-2129
                https://orcid.org/0000-0002-9387-5193
                https://orcid.org/0000-0002-2983-2930
                https://orcid.org/0000-0002-4867-1992
                https://orcid.org/0000-0003-1021-884X
                https://orcid.org/0000-0002-6704-0010
                https://orcid.org/0000-0002-2686-8858
                https://orcid.org/0000-0003-0156-0395
                https://orcid.org/0000-0002-2748-2658
                Article
                v22i10e18514
                10.2196/18514
                7573698
                33016882
                7a404330-9060-42e2-92eb-8783f8fee710
                ©Chelsea Stunden, Julie Zasada, Nicole VanHeerwaarden, Elisa Hollenberg, Alexxa Abi-Jaoudé, Gloria Chaim, Kristin Cleverley, Joanna Henderson, Andrew Johnson, Andrea Levinson, Brian Lo, Janine Robb, Jenny Shi, Aristotle Voineskos, David Wiljer. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 05.10.2020.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 9 March 2020
                : 21 April 2020
                : 23 July 2020
                : 27 July 2020
                Categories
                Original Paper
                Original Paper

                Medicine
                mental health,students,adolescent,substance abuse,ehealth,mhealth,mobile apps,help-seeking behavior,social stigma,social support

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