Brief report: Need for autonomy and other perceived barriers relating to adolescents’ intentions to seek professional mental health care
Abstract
The current study examined the relationship between belief‐based barriers to seeking professional mental health care and help‐seeking intentions in a sample of 1037 adolescents. From early adolescence to adulthood, for males and females, the need for autonomy was a strong barrier to seeking professional mental health care. Help‐seeking fears were weaker in the older age groups. Having lower perceived need for autonomy and believing that prior mental health care was helpful was significantly associated with higher intentions to seek future professional mental health care. Implications for prevention and overcoming barriers to seeking mental health care are suggested.
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When a young person could not locate a social support with these skills, the search for help often ended with a return to self-management.
“When a young person could not locate a social support with these skills, the search for help often ended with a return to self-management (Medlow et al. 2010; Wilson and Deane 2012; Burlaka et al. 2014; Lynch et al. 2025b).”
From "You Have the Choice of Whether You're Going to Get Help or Attempt Suicide": Exploring the Process and Impact of Mental Health Help-Seeking with Young People (16–25 Years) (2025) · cites this paper as Wilson and Deane 2012
Young people with experiences of marginalisation, who did not have access to private routes, prioritised self-reliance in the longer-term to avoid involvement in these systems and further re-traumatisation.
“To avoid involvement in these systems and further re-traumatisation, young people with experiences of marginalisation, who did not have access to private routes, prioritised self-reliance in the longer-term (Medlow et al. 2010; Wilson and Deane 2012; Burlaka et al. 2014; Lynch et al. 2025a).”
From "You Have the Choice of Whether You're Going to Get Help or Attempt Suicide": Exploring the Process and Impact of Mental Health Help-Seeking with Young People (16–25 Years) (2025) · cites this paper as Wilson and Deane 2012
Seven studies did not find significant differences between genders in help-seeking barriers and facilitators.
“Seven studies did not find significant differences between genders [28, 39, 40, 42, 46, 51, 69].”
Older adolescents had less help-seeking fears.
“Some findings suggested that older adolescents tended to establish to feel more comfortable with people with mental health issues [83] and had less help-seeking fears [40].”
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Preferred sources of help for mental health problems among Chilean adolescents: a descriptive study
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Change Pathways in Indigenous and Nonindigenous Youth Suicide
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“…that adults have to make healthcare decisions, help-seeking decisions and actions were further constrained by this limited autonomy and service barriers, particularly restricted access and a lack of information (Aday and Andersen 1974; Lynch et al. 2025b; Quinn et al. 2009; Wilson and Deane 2012).”
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Self-citation
- Authors
- Wilson, C. J., & Deane, F. P.
- Affiliations
- University of Wollongong (AU)
- Corresponding author
- Wilson, Coralie J.
- ORCID
- Deane, Frank P.
- Venue
- Journal of Adolescence
- Publisher
- Wiley
- Published
- 2010-07-21
- Volume
- 35
- Issue
- 1
- Pages
- 233-237
- ISSN
- 0140-1971 (ISSN-L)
- 1095-9254
- OpenAlex
- W2097556398
- Cited by
- 131
- References
- 21
- Citations by year
- 2026: 19 · 2025: 15 · 2024: 15 · 2023: 8 · 2022: 6 · 2021: 12 · 2020: 13 · 2019: 8 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 4.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescence (publishedVersion)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Funders
- Australian National Health and Medical Research Council (YS060)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- help-seeking intentions, barriers to mental health care, need for autonomy, adolescents, age differences, gender differences, mental health service utilization
- MeSH terms
- Adolescent, Mental Disorders, Child, Female, Humans, Male, Mental Health Services, Patient Acceptance of Health Care, Surveys and Questionnaires, Personal Autonomy
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