Do Help-Seeking Intentions During Early Adolescence Vary for Adolescents Experiencing Different Levels of Depressive Symptoms?
Abstract
Purpose To investigate whether help-seeking intentions for depressive symptoms vary for adolescents experiencing low, mild-to-moderate, and high levels of depressive symptoms.Methods A total of 5,362 participants aged 12-14 years had completed the baseline assessment for a randomized controlled trial evaluating the effectiveness of a universal intervention designed to reduce depressive symptoms among high school students. The participants reported their help-seeking intentions in response to a vignette describing an individual experiencing depressive symptoms consistent with a diagnosis of a minor depressive disorder. Standard measures were used to assess participants' level of depressive symptoms and perceived level of social support.Results Logistic regression models examined relationships between help-seeking intentions and levels of depression, after adjustment for demographic characteristics and perceived support. As compared with those with low levels of depressive symptoms, adolescents with high levels of symptoms reported less intention to seek help from friends (odds ratio [OR] = .42) or family members (OR = .29). They were also four times more likely to report that they would not seek help from anybody (OR = 4.55). A similar pattern was evident during comparisons of help-seeking intentions reported by adolescents with mild-to-moderate levels of depressive symptoms versus those with low levels of symptoms.Conclusions Targeted and universal interventions need to encourage peers and family members to actively engage with young adolescents experiencing depressive symptoms rather than waiting for them to initiate help-seeking. This is particularly important for adolescents experiencing higher levels of depressive symptoms who may not initiate help-seeking themselves.
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The finding that females perceived more overall barriers may be related to higher rates of females seeking help for mental health problems compared to males.
“However, this may be related to higher rates of females seeking help for mental health problems compared to males [31, 33, 37, 42, 48, 53, 58, 61, 76].”
Increasing mental health literacy among this population may provide a way of improving social support between peers.
“Increasing mental health literacy among this population may provide a way of improving social support between peers [121].”
From What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review (2020) · cites this paper as [121]
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“It is counter-intuitive that patients with more severe depression are more reluctant to seek help [11].”
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“Evidence indicates that subjective distress is associated with lower help-seeking intentions and negative emotional experiences (Sawyer et al., 2012; Zhou et al., 2025).”
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- Authors
- Sawyer, M. G., Borojevic, N., Ettridge, K. A., Spence, S. H., Sheffield, J., & Lynch, J.
- Affiliations
- Women's and Children's Health Network (AU)
- Cancer Council SA (AU)
- Griffith University (AU)
- The University of Queensland (AU)
- University of Bristol (GB)
- Corresponding author
- Sawyer, Michael G.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 50
- Issue
- 3
- Pages
- 236-242
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2155099043
- Cited by
- 72
- References
- 34
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 4 · 2016: 5 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 1
- FWCI
- 5.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- 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 › Suicide and Self-Harm Studies
- Keywords
- help-seeking intentions, depressive symptoms, early adolescence, minor depressive disorder, social support, adolescent depression
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Depression, Female, Humans, Male, Social Support, Logistic Models, Odds Ratio, Intention
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