Look like you have it together': Examining mental illness stigma and help seeking among diverse emerging adults
Abstract
Individuals transitioning through emerging adulthood endure various challenges that impact their mental health and well-being. Mental illness stigma interferes with the willingness to seek professional mental health services during this transition period. We must fully understand the influence of mental illness stigma and ways to increase the utilization of mental health services for emerging adults. Using content analysis, the researchers examined responses to open-ended survey questions and identified themes that captured beliefs about mental illness stigma and help seeking, desired characteristics of mental health providers, and support preferences for mental health concerns in a diverse group of emerging adults. The three core themes of (1) public stigma, (2) mental health provider traits, and (3) supports for mental health concerns provide insight into the understudied area of emerging adulthood. Study findings have important implications to combat stigma, increase mental health service utilization, and improve mental health service delivery for emerging adults.
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Lack of regional and accessible resources contributes to limited mental health literacy and preventive care, which can create more barriers to mental health support for both children and adults.
“Lack of regional and accessible resources contributes to limited mental health literacy and preventive care, which can create more barriers to mental health support for both children and adults (Crumb et al., 2021).”
From Trauma-Informed Research-Practice Partnership Building to Support Early Childhood Educators in an Appalachian Community (2023) · cites this paper as Crumb et al., 2021
Cites
Three Approaches to Qualitative Content Analysis
Hsieh, H.-F., & Shannon, S. E. (2005) · Qualitative Health Research · doi:10.1177/1049732305276687 · Cited by 44,601 · see citing works
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
The satisfaction with life scale
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985) · Journal of Personality Assessment · doi:10.1207/s15327752jpa4901_13 · Cited by 31,768 · see citing works
The qualitative content analysis process
Elo, S., & Kyngäs, H. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04569.x · Cited by 22,617 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391 · see citing works
Qualitative evaluation and research methods
Ellis, D. J. (1990) · International Journal of Information Management · doi:10.1016/0268-4012(90)90041-p · Cited by 17,942 · see citing works
Emerging adulthood: A theory of development from the late teens through the twenties.
Arnett, J. J. (2000) · American Psychologist · doi:10.1037/0003-066x.55.5.469 · Cited by 16,843 · see citing works
Research Design: Qualitative, Quantitative, and Mixed Methods Approaches
ภู่พันธ์, ศ. (2018) · วารสารวิธีวิทยาการวิจัย (Journal of Research Methodology: JRM) · Cited by 12,777 · see citing works
How stigma interferes with mental health care.
Corrigan, P. (2004) · American Psychologist · doi:10.1037/0003-066x.59.7.614 · Cited by 3,648 · see citing works
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-113 · Cited by 3,292 · see citing works
The New Life Stage of Emerging Adulthood at Ages 18–29 Years: Implications for Mental Health
Arnett, J. J., Žukauskienė, R., & Sugimura, K. (2014) · The Lancet Psychiatry · doi:10.1016/s2215-0366(14)00080-7 · Cited by 1,896 · see citing works
Understanding the impact of stigma on people with mental illness.
(2002) · Europe PMC (PubMed Central) · Cited by 1,786 · see citing works
Mental health literacy: empowering the community to take action for better mental health
Jorm, A. F. (2012) · American Psychologist · doi:10.1037/a0025957 · Cited by 1,783 · see citing works
Link, B. G. (1987) · American Sociological Review · doi:10.2307/2095395 · Cited by 1,588 · see citing works
Applications of Social Research Methods to Questions in Information and Library Science
(2016) · Libraries Unlimited eBooks · doi:10.5040/9798400613739 · Cited by 1,109 · see citing works
McColl, E., Jacoby, A., Thomas, L., Soutter, J. L., Bamford, C. H., Steen, N., Thomas, R., Harvey, E., Garratt, A., & Bond, J. B. (2001) · Health Technology Assessment · doi:10.3310/hta5310 · Cited by 779 · see citing works
Survey Methods in Social Investigation.
Moss, L., Moser, C. A., & Kalton, G. (1972) · Journal of the Royal Statistical Society Series A (General) · doi:10.2307/2344698 · Cited by 556 · see citing works
Finfgeld-Connett, D. L. (2013) · Qualitative Research · doi:10.1177/1468794113481790 · Cited by 433 · see citing works
What is the impact of self-stigma? Loss of self-respect and the “why try” effect
Corrigan, P. W., Bink, A. B., Schmidt, A., Jones, N., & Rüsch, N. (2015) · Journal of Mental Health · doi:10.3109/09638237.2015.1021902 · Cited by 320 · see citing works
Content analysis in leadership research: Examples, procedures, and suggestions for future use
Insch, G. S., Moore, J. E., & Murphy, L. D. (1997) · The Leadership Quarterly · doi:10.1016/s1048-9843(97)90028-x · Cited by 264 · see citing works
MENTAL ILLNESS STIGMA AND CARE SEEKING
Cooper, A., Corrigan, P. W., & Watson, A. C. (2003) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000066157.47101.22 · Cited by 258 · see citing works
Turning Point for a Turning Point
Schwartz, S. J. (2016) · Emerging Adulthood · doi:10.1177/2167696815624640 · Cited by 222 · see citing works
Can you tell who I am? Neuroticism, extraversion, and online self-presentation among young adults
Michikyan, M., Subrahmanyam, K., & Dennis, J. M. (2014) · Computers in Human Behavior · doi:10.1016/j.chb.2014.01.010 · Cited by 209 · see citing works
Disentangling self-stigma: Are mental illness and help-seeking self-stigmas different?
Tucker, J. R., Hammer, J. H., Vogel, D. L., Bitman, R. L., Wade, N. G., & Maier, E. J. (2013) · Journal of Counseling Psychology · doi:10.1037/a0033555 · Cited by 207 · see citing works
Herman-Stahl, M. A., Krebs, C., Kroutil, L. A., & Heller, D. C. (2006) · Addictive Behaviors · doi:10.1016/j.addbeh.2006.07.010 · Cited by 199 · see citing works
Does Emerging Adulthood Theory Apply Across Social Classes? National Data on a Persistent Question
Arnett, J. J. (2015) · Emerging Adulthood · doi:10.1177/2167696815613000 · Cited by 197 · see citing works
Depression stigma, race, and treatment seeking behavior and attitudes
Brown, C., Conner, K. O., Copeland, V. C., Grote, N. K., Beach, S. R., Battista, D. R., & Reynolds, C. F. (2010) · Journal of Community Psychology · doi:10.1002/jcop.20368 · Cited by 188 · see citing works
Carliner, H., Keyes, K. M., McLaughlin, K. A., Meyers, J. L., Dunn, E. C., & Martins, S. S. (2016) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2016.05.010 · Cited by 187 · see citing works
Developmental sources of crash risk in young drivers
Arnett, J. J. (2002) · Injury Prevention · doi:10.1136/ip.8.suppl_2.ii17 · Cited by 179 · see citing works
Presidential Address: The Emergence of Emerging Adulthood
Arnett, J. J. (2014) · Emerging Adulthood · doi:10.1177/2167696814541096 · Cited by 175 · see citing works
Conceptualizing Emerging Adulthood: Inspecting the Emperor’s New Clothes?
Hendry, L. B., & Kloep, M. (2007) · Child Development Perspectives · doi:10.1111/j.1750-8606.2007.00017.x · Cited by 173 · see citing works
The influence of psychological symptoms on mental health literacy of college students.
Kim, J. E., Saw, A., & Zane, N. W. S. (2015) · American Journal of Orthopsychiatry · doi:10.1037/ort0000074 · Cited by 152 · see citing works
Stewart, H., Jameson, J. P., & Curtin, L. (2015) · Psychological Services · doi:10.1037/a0038651 · Cited by 144 · see citing works
Mental Illness Stereotypes and Clinical Care: Do People Avoid Treatment Because of Stigma?
Corrigan, P. W., & Rüsch, N. (2002) · Psychiatric Rehabilitation Skills · doi:10.1080/10973430208408441 · Cited by 129 · see citing works
Ethical and Legal Implications on the Use of Technology in Counselling
Harris, B., & Birnbaum, R. (2014) · Clinical Social Work Journal · doi:10.1007/s10615-014-0515-0 · Cited by 108 · see citing works
Emerging Adulthood: A Time of Changes in Psychosocial Well-Being
Baggio, S., Studer, J., Iglesias, K., Daeppen, J., & Gmel, G. E. (2016) · Evaluation & the Health Professions · doi:10.1177/0163278716663602 · Cited by 96 · see citing works
Drinking Behavior from High School to Young Adulthood: Differences by College Education
Bingham, C. R., Shope, J. T., & Tang, X. (2005) · Alcoholism Clinical and Experimental Research · doi:10.1097/01.alc.0000191763.56873.c4 · Cited by 78 · see citing works
Adams, S. H., Knopf, D. K., & Park, M. J. (2014) · Emerging Adulthood · doi:10.1177/2167696813513563 · Cited by 72 · see citing works
The therapist–parent alliance in family-based therapy for adolescents
Diamond, G. M., Diamond, G. S., & Liddle, H. A. (2000) · Journal of Clinical Psychology · doi:10.1002/1097-4679(200008)56:8 · Cited by 68 · see citing works
Chambers, T., & Chiang, C.-H. (2011) · Quality & Quantity · doi:10.1007/s11135-011-9549-3 · Cited by 57 · see citing works
Considerations for Conducting Telemental Health with Children and Adolescents
Nelson, E., Cain, S., & Sharp, S. C. (2016) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2016.07.008 · Cited by 53 · see citing works
Over promised, over-sold and underperforming? – e-health in mental health
Wykes, T., & Brown, M. (2016) · Journal of Mental Health · doi:10.3109/09638237.2015.1124406 · Cited by 52 · see citing works
Davis, J. P., Smith, D. C., & Briley, D. A. (2017) · Psychology of Addictive Behaviors · doi:10.1037/adb0000267 · Cited by 45 · see citing works
African American College Students, the Black Church, and Counseling
Harris, J. R. A., & Gonzales‐Wong, C. D. (2018) · Journal of College Counseling · doi:10.1002/jocc.12084 · Cited by 41 · see citing works
Self-citationGagnon, M. M., Gelinas, B. L., & Friesen, L. N. (2015) · Journal of Adolescent Research · doi:10.1177/0743558415605383 · Cited by 40 · see citing works
Self-Doubt During Emerging Adulthood
Peer, J. W., & McAuslan, P. (2015) · Emerging Adulthood · doi:10.1177/2167696815579828 · Cited by 38 · see citing works
African Americans’ Perceptions of Mental Illness and Preferences for Treatment
Harris, J. R. A., Crumb, L., Crowe, A., & McKinney, J. L. G. (2020) · Journal of Counselor Practice · doi:10.22229/afa1112020 · Cited by 34 · see citing works
Self-citationBeing a College Counselor on Today's Campus
Sharkin, B. S. (2012) · Routledge eBooks · doi:10.4324/9780203847961 · Cited by 30 · see citing works
Crumb, L., Haskins, N., & Brown, S. (2019) · The Professional Counselor · doi:10.15241/lc.9.1.20 · Cited by 30 · see citing works
Self-citationThe Promise and Peril of Emerging Adulthood: Introduction to the Special Issue
Henin, A., & Berman, N. C. (2016) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2016.05.005 · Cited by 21 · see citing works
Gardner, M., & Steinberg, L. D. (2012) · Developmental Psychology · doi:10.1037/a0026993 · Cited by 17 · see citing works
In My Own Words: Exploring Definitions of Mental Health in the Rural Southeastern United States
Crowe, A., Averett, P. E., Harris, J. R. A., Crumb, L., & Littlewood, K. (2019) · The Professional Counselor · doi:10.15241/ac.9.4.381 · Cited by 8 · see citing works
Self-citationHelp for the Helper: Mental Health Concerns, Supports, and Stigma in School Counselors
Crowe, A., Mullen, P. R., & Harris, J. R. A. (2017) · Journal of Professional Counseling Practice Theory & Research · doi:10.1080/15566382.2017.12033957 · Cited by 6 · see citing works
Self-citationHammond, C. J. (2016) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2016.05.013 · Cited by 3 · see citing works
Flagged first, then by citations
1 of the 56 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Victimization and Its Consequences over the Life Course
Turanovic, J. J. (2023) · Crime and Justice · doi:10.1086/727029 · Cited by 43 · see citing works
Barnett, P., Arundell, L.-L., Matthews, H., Saunders, R., & Pilling, S. (2021) · BJPsych Open · doi:10.1192/bjo.2021.947 · Cited by 21 · see citing works
Final-year university students’ mental health and access to support as they prepared to graduate
Magier, M. J., Law, M. P., Pennisi, S., Martini, T. S., Duncan, M. J., Chattha, H., & Patte, K. A. (2023) · Cogent Mental Health · doi:10.1080/28324765.2023.2252918 · Cited by 8 · see citing works
The Impact of a Counseling Techniques Course on Self-Efficacy and Stigma
Crowe, A., Lamb, R. L., Harris, J. R. A., Crumb, L., & Dietz, S. S. (2022) · Teaching and Supervision in Counseling · doi:10.7290/tsc04f8b4 · Cited by 7 · see citing works
Self-citationMental Health Help-Seeking Behaviors and Service Utilization of Black College Students
Keys, T. J., Watson, J. D., Sobolewski, C. M., Macias, A., Olivares, D., Jones, S. C. T., Gattis, M. N., & Corona, R. (2025) · Journal of Black Psychology · doi:10.1177/00957984251371496 · Cited by 3 · see citing works
Kim, Y. K., Small, E., Pounders, R., Fall, S. L., & Wilson, W. L. (2023) · Child & Youth Care Forum · doi:10.1007/s10566-023-09751-y · Cited by 2 · see citing works
Qualitative Data Collection Strategies for the Study of Emerging Adults
Schwab, J. R. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197677797.003.0008 · Cited by 2 · see citing works
Keum, B. T., Wang, F., Ofei, L. M., Wong, M. J., Oh, H. Y., & Volpe, V. V. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1745978 · Cited by 1 · see citing works
Caudle, L., Grist, C., & Thompson, H. (2023) · Theory & Practice in Rural Education · doi:10.3776/tpre.2023.v13n2p51-75
Emerging Adult–Centered Pastoral Care
Snider, R. (2024) · Pastoral Psychology · doi:10.1007/s11089-024-01163-6
Fadhilah, P., & Boediman, L. M. (2025) · INSAN Jurnal Psikologi dan Kesehatan Mental · doi:10.20473/jpkm.v10i12025.102-127
Media intervention and mental health: can media modify college student attitudes?
Hastings, T. (2025) · Mental Health and Digital Technologies · doi:10.1108/mhdt-03-2025-0022
Seeing us Beyond the Cuts: Young Women’s Perspectives on the Meaning of their Non-Suicidal Self-Harm
Sold, A., & Refaeli, T. (2025) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-025-00786-y
Bunyi, J., Wu, S., Hwang, A. H., & Oh, H. Y. (2026) · Research Square · doi:10.21203/rs.3.rs-9285173/v1
Motley, R., Williamson, E., Peoples, J. E., Ingram, M., & McTernan, M. L. (2026) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-026-03194-6
Bunyi, J., Pagador, A., Zhang, H., Safi, N. Y., Bustamante, M., Lee, C., Jeon, E. D., Sweeney, C., Wu, S., Hwang, A. H., et al. (2026) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2026.100887
- Authors
- Crumb, L., Crowe, A., Averett, P., Harris, J. A., & Dart, C.
- Affiliations
- East Carolina University (US)
- Department of Interdisciplinary Professions, College of Education, East Carolina University, Greenville, NC, USA
- Corresponding author
- Crumb, Loni
- Venue
- Emerging Adulthood
- Publisher
- SAGE Publications
- Published
- 2019-05-26
- Volume
- 9
- Issue
- 6
- Pages
- 702-711
- ISSN
- 2167-6968 (ISSN-L)
- 2167-6984
- OpenAlex
- W2947405034
- Cited by
- 16
- References
- 56
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 1
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Emerging Adulthood (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Keywords
- mental health stigma, help-seeking, mental health service utilization, public stigma, support preferences, mental health service delivery, help-seeking barriers
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