Barriers and facilitators to mental health help-seeking for young elite athletes: a qualitative study
Open accessAbstract
BACKGROUND: Adolescents and young adults experience a high level of mental disorders, yet tend not to seek help. Research indicates that there are many barriers and facilitators to help-seeking for young people in the general community. However there are limited data available for young elite athletes. This study aims to determine what young elite athletes perceive as the barriers and facilitators to help-seeking for common mental health problems. METHODS: Fifteen elite athletes aged 16-23 years each participated in one of three focus group discussions. In addition to written data, verbal responses were audio taped, transcribed and thematically analysed. RESULTS: Participants' written and verbal data suggested that stigma was the most important perceived barrier to seeking help for young elite athletes. Other notable barriers were a lack of mental health literacy, and negative past experiences of help-seeking. Facilitators to help-seeking were encouragement from others, having an established relationship with a provider, pleasant previous interactions with providers, the positive attitudes of others, especially their coach, and access to the internet. CONCLUSIONS: Intervention strategies for improving help-seeking in young elite athletes should focus on reducing stigma, increasing mental health literacy, and improving relations with potential providers.
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The majority of barrier/facilitator studies were cross sectional (n=36), thirteen were qualitative, and six used a mixed-method design.
“The majority of the studies were cross sectional (n = 36) [26–61], thirteen studies were qualitative [62–74] and six used a mixed-method design [75–80].”
Athletes rarely seek professional services when they experience mental health issues.
“Yet, even when their suffering is severe, it seems that athletes rarely seek professional services when they experience mental health issues [5,6].”
From Mental health literacy intervention on help-seeking in athletes: a systematic review (2020) · cites this paper as [6]
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- Authors
- Gulliver, A., Griffiths, K. M., & Christensen, H.
- Affiliations
- Australian National University (AU)
- Corresponding author
- Gulliver, Amelia
- Venue
- BMC Psychiatry
- Published
- 2012-09-26
- Volume
- 12
- Issue
- 1
- Pages
- 157-157
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC3514142
- OpenAlex
- W2159808148
- Cited by
- 611
- References
- 76
- Citations by year
- 2026: 56 · 2025: 74 · 2024: 65 · 2023: 69 · 2022: 78 · 2021: 63 · 2020: 51 · 2019: 43 · 2018: 38 · 2017: 19 · 2016: 30 · 2015: 9 · 2014: 12 · 2013: 3
- FWCI
- 11.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- ANU Open Research (Australian National University) (submittedVersion, cc-by)
- Funders
- Australian National University
- Australian Institute of Sport
- National Health and Medical Research Council (525413, 525411)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
- Keywords
- help-seeking, mental health, elite youth athletes, help-seeking barriers, mental health stigma, mental health literacy, coach attitudes, provider relationships, adolescents, young adults
- MeSH terms
- Adolescent, Adult, Age Factors, Mental Disorders, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Patient Acceptance of Health Care, Focus Groups, Qualitative Research, Young Adult, Athletes, Social Stigma
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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