Stigma about depression and its impact on help-seeking intentions
Abstract
Objective: Research has shown that people are reluctant to seek professional help for depression, especially from mental health professionals. This may be because of the impact of stigma which can involve people's own responses to depression and help-seeking (self stigma) as well as their perceptions of others' negative responses (perceived stigma). The aim of this article was to examine community help-seeking intentions and stigmatizing beliefs associated with depression. Method: A total of 1312 adults randomly sampled from the Australian community completed a questionnaire providing a depression vignette and measures of selfand perceived-stigmatizing responses, source-specific help-seeking intentions, current depressive symptoms and depression experience, and demographics. Results: Many people reported they would feel embarrassed about seeking help from professionals, and believed that other people would have a negative reaction to them if they sought such help. Some expected professionals to respond negatively to them. Responses varied according to the sources of professional help. Self-embarrassment and expectations that others would respond negatively predicted the likelihood of help-seeking from professional sources. Conclusion: Self- and perceived-stigmatizing responses to help-seeking for depression are prevalent in the community and are associated with reluctance to seek professional help. Interventions should focus on minimizing expectations of negative responses from others and negative self-responses to help-seeking, and should target younger people.
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Stigmatising attitudes about mental health problems may impact on treatment seeking and adherence and increase social exclusion.
“Stigmatising attitudes about mental health problems may also impact on treatment seeking and adherence and increase social exclusion [54, 55].”
From Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour (2018) · cites this paper as [54]
Existing face-to-face services pose significant barriers for young people largely due to access, availability, and high costs, as well as reluctance due to stigma and embarrassment.
“In addition, existing face-to-face services pose significant barriers for young people [10-16] largely due to access, availability, and high costs of these services [17], as well as the reluctance of young people to seek professional help due to stigma and embarrassment [18-20].”
From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [18]
Stigma was identified as a defining element of the bereavement process, echoing previous literature.
“The experience of stigma was identified as a defining element of the bereavement process, echoing previous reports of suicide bereavement in the literature.3,12,13”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [12]
Stigma amplifies the grief of suicide survivors and strongly affects social interactions and help-seeking.
“The grief of survivors of suicide is also amplified by stigma, which has a profound impact on social interactions and help-seeking behaviour.3,12,13”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [12]
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- Authors
- Barney, L. J., Griffiths, K. M., Jorm, A. F., & Christensen, H.
- Affiliations
- Australian National University (AU)
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2006-01
- Volume
- 40
- Issue
- 1
- Pages
- 51-54
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2130005154
- Cited by
- 844
- References
- 26
- Citations by year
- 2026: 20 · 2025: 25 · 2024: 39 · 2023: 47 · 2022: 37 · 2021: 67 · 2020: 38 · 2019: 48 · 2018: 59 · 2017: 45 · 2016: 58 · 2015: 51 · 2014: 41 · 2013: 62 · 2012: 45
- FWCI
- 20.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Keywords
- depression, stigma, help-seeking intentions, self-stigma, perceived stigma, mental health professionals, help-seeking reluctance, community-dwelling adults, depressive symptoms
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Australia, Depressive Disorder, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Sampling Studies, Stereotyping, Intention
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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