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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Mar 9, 2020
Date Accepted: Jul 27, 2020

The final, peer-reviewed published version of this preprint can be found here:

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

Stunden C, Zasada J, VanHeerwaarden N, Hollenberg E, Abi-Jaoude A, Chaim G, Cleverley K, Henderson J, Johnson A, Levinson A, Lo B, Robb J, Shi J, Voineskos A, Wiljer D

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

J Med Internet Res 2020;22(10):e18514

DOI: 10.2196/18514

PMID: 33016882

PMCID: 7573698

“It’s still taboo”: Help-seeking behaviors of transition-aged youth for mental health concerns – a qualitative study

  • Chelsea Stunden; 
  • Julie Zasada; 
  • Nicole VanHeerwaarden; 
  • Elisa Hollenberg; 
  • Alexxa Abi-Jaoude; 
  • Gloria Chaim; 
  • Kristin Cleverley; 
  • Joanna Henderson; 
  • Andrew Johnson; 
  • Andrea Levinson; 
  • Brian Lo; 
  • Janine Robb; 
  • Jenny Shi; 
  • Aristotle Voineskos; 
  • David Wiljer

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 was to explore influences on and patterns in help-seeking for mental health concerns among transition-aged youth who attend post-secondary school in Canada.

Methods:

A qualitative research design was used, involving 11 semi-structured focus groups with transition-aged youth (17–29 years) attending Canadian post-secondary schools. Thematic analysis was conducted to code the transcripts and develop themes.

Results:

Four main themes and sub-themes regarding the process and experience of help-seeking emerged: (1) the influence of formal service providers (accessibility; experiences); (2) the influence of social factors (system navigation; stigma); (3) the influence of health literacy (symptom recognition; acting on symptoms; digital tools and the internet; 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. 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. Moreover, digital help-seeking tools have unique characteristics that may make these tools an important source of support for transition-aged youth.


 Citation

Please cite as:

Stunden C, Zasada J, VanHeerwaarden N, Hollenberg E, Abi-Jaoude A, Chaim G, Cleverley K, Henderson J, Johnson A, Levinson A, Lo B, Robb J, Shi J, Voineskos A, Wiljer D

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

J Med Internet Res 2020;22(10):e18514

DOI: 10.2196/18514

PMID: 33016882

PMCID: 7573698

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