Cited by 251Health Literacy and Information AccessibilityMental Health Treatment and AccessDigital Mental Health Interventions

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Seeking Help From the Internet During Adolescence

GOULD, MADELYN S., MUNFAKH, JIMMIE LOU HARRIS, LUBELL, KERI, KLEINMAN, MARJORIE, PARKER, SARAH·2002·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-200210000-00007

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Abstract

Objective To assess the prevalence and demographic and psychological correlates of Internet use as a help-seeking resource for emotional problems in a community sample of adolescents.Method A self-report survey was completed by 9th-through 12th-grade students ( = 519) enrolled in health courses in six New York State high schools in the fall/winter of 1999. The relationship between Internet help-seeking behavior and demographic characteristics, hopelessness, functional impairment, and use of various treatment services was examined.Results Nearly one fifth (18.2%) of the adolescents sought help on the Internet for emotional problems in the previous year. The proportions of males and females seeking help on the Internet did not significantly differ (15.6% and 20.8%, respectively). Internet help-seekers were significantly more likely than non-help-seekers to score above the clinical threshold on the Columbia Impairment Scale (34% versus 20.6%; chi(2)(1) = 7.4, <.01) or Beck Depression Inventory (16.1% versus 9.1%; chi(2)(1) = 3.8, <.05). These at-risk youths tended to combine Internet help-seeking with other sources of help, rather than substituting it for other resources. More than 20% of Internet help-seekers were dissatisfied with the help they received, and only 14% thought it had helped them very much.Conclusions For the Internet to realize its potential as an effective resource for teenagers struggling with emotional problems, further development is needed.

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“Research has shown that many students prefer to manage mental health issues alone, due to concerns on confidentiality, a feeling that the problem is too personal, and the fear that no person or service could help (Ebert et al., 2019; Gould et al., 2002).”
Background

Authors: GOULD, M. S., MUNFAKH, J. L. H., LUBELL, K., KLEINMAN, M., & PARKER, S.
Affiliations: Centers for Disease Control and Prevention (US)
Corresponding author: GOULD, MADELYN S.
ORCID: GOULD, MADELYN S.
LUBELL, KERI
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2002-10
Volume: 41
Issue: 10
Pages: 1182-1189
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/00004583-200210000-00007
OpenAlex: W2074146972
Cited by: 250
References: 49
Citations by year: 2026: 2 · 2025: 6 · 2023: 3 · 2022: 5 · 2021: 10 · 2020: 5 · 2019: 7 · 2018: 12 · 2017: 10 · 2016: 7 · 2015: 21 · 2014: 23 · 2013: 14 · 2012: 18
FWCI: 13.15
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: adolescents, emotional problems, depression, helplessness, functional disability, online mental health resources, help-seeking
MeSH terms: Adolescent, Adolescent Behavior, Adult, Female, Humans, Male, Mental Health Services, New York, Patient Acceptance of Health Care, Regression Analysis, Sex Factors, Multivariate Analysis, Internet

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Seeking Help From the Internet During Adolescence

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