perceived barriers and facilitators to mental health help-seeking in young people a systematic review感知障碍和辅导员心理健康求助系统回顾的年轻人.pdfVIP
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perceived barriers and facilitators to mental health help-seeking in young people a systematic review感知障碍和辅导员心理健康求助系统回顾的年轻人
Gulliver et al. BMC Psychiatry 2010, 10:113
/1471-244X/10/113
RESEARCH ARTICLE Open Access
Perceived barriers and facilitators to mental
health help-seeking in young people: a
systematic review
*
Amelia Gulliver , Kathleen M Griffiths, Helen Christensen
Abstract
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
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