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What Are the Barriers, Facilitators and Interventions Targeting Help-Seeking Behaviours for Common Mental Health Problems in Adolescents? A Systematic Review

Aguirre Velasco, Antonia, Silva Santa Cruz, Ignacio, Billings, Jo, Jimenez, Magdalena, Rowe, Sarah·2025·Focus
DOI 10.1176/appi.focus.25023003
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Abstract

Background Increasing rates of mental health problems among adolescents are of concern. Teens who are most in need of mental health attention are reluctant to seek help. A better understanding of the help-seeking in this population is needed to overcome this gap. Methods Five databases were searched to identify the principal barriers, facilitators and interventions targeting help-seeking for common mental health problems in adolescents aged 10-19 years. The search was performed in June 2018 and updated in April 2019. Two independent screening processes were made using the eligibility criteria. Quality assessment of each study was performed, and findings summarised using a narrative synthesis. Results Ninety studies meet the inclusion criteria for this review for barrier and facilitators ( n = 54) and interventions ( n = 36). Stigma and negative beliefs towards mental health services and professionals were the most cited barriers. Facilitators included previous positive experience with health services and mental health literacy. Most interventions were based on psychoeducation, which focused on general mental health knowledge, suicide and self-harm, stigma and depression. Other types of interventions included the use of multimedia and online tools, peer training and outreach initiatives. Overall, the quality of studies was low to medium and there was no general agreement regarding help-seeking definition and measurements. Conclusion Most of the interventions took place in an e…

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Metadata

Authors
Aguirre Velasco, A., Silva Santa Cruz, I., Billings, J., Jimenez, M., & Rowe, S.
Affiliations
Child and Adolescent Mental Health Service, Children’s Hospital Dr. Roberto del Río, Santiago, Chile (Velasco); Public Health School, Faculty of Medicine, University of Chile, Santiago, Chile (Cruz); División of Psychiatry, University College London, London, UK (Billings, Rowe); Camden and Islington Mental Health Foundation Trust, London, UK (Jimenez).
ORCID
Rowe, Sarah
Venue
Focus
Publisher
American Psychiatric Association Publishing
Published
2025-01
Volume
23
Issue
1
Pages
98-118
ISSN
  • 1541-4094
  • 1541-4108
DOI
10.1176/appi.focus.25023003
Cited by
14
References
48
Language
en

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