Cited by 140Mental Health Treatment and AccessPsychiatric care and mental health servicesSuicide and Self-Harm Studies

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Seeking informal and formal help for mental health problems in the community: a secondary analysis from a psychiatric morbidity survey in South London

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Brown, June SL, Evans-Lacko, Sara, Aschan, Lisa, Henderson, Max J, Hatch, Stephani L, Hotopf, Matthew·2014·BMC Psychiatry

DOI 10.1186/s12888-014-0275-yPMC PMC4195997

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Abstract

BackgroundOnly 30-35% of people with mental health problems seek help from professionals. Informal help, usually from friends, family and religious leaders, is often sought but is under-researched. This study aimed to contrast patterns of informal and formal help-seeking using data from a community psychiatric morbidity survey (n=1692) (South East London Community Health (SELCOH) Study).MethodsPatterns of help-seeking were analysed by clinical, sociodemographic and socioeconomic indicators. Factors associated with informal and formal help-seeking were investigated using logistic regression. Cross-tabulations examined informal help-seeking patterns from different sources.Results`Cases¿ (n = 386) were participants who had scores of ¿ 12 on the Revised Clinical Interview Schedule (CIS-R), indicating a common mental disorder. Of these, 40.1% had sought formal help, (of whom three-quarters (29%) had also sought informal help), 33.6% had sought informal help only and only 26.3% had sought no help. When controlling for non-clinical variables, severity, depression, suicidal ideas, functioning and longstanding illnesses were associated with formal rather than informal help-seeking. Age and ethnic group influenced sources of informal help used. Younger people most frequently sought informal help only whereas older people tended to seek help from their family. There were ethnic group differences in whether help was sought from friends, family or religious leaders.ConclusionsThis study has shown how frequently informal help is used, whether in conjunction with formal help or not. Among the `cases¿, over 60% had sought informal help, whether on its own or together with formal help. Severity was associated with formal help-seeking. Patterns of informal help use have been found. The use and effectiveness of informal help merit urgent research.

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Authors: Brown, J. S., Evans-Lacko, S., Aschan, L., Henderson, M. J., Hatch, S. L., & Hotopf, M.
Affiliations: King's College London (GB)
Corresponding author: Brown, June SL
ORCID: Brown, June SL
Evans-Lacko, Sara
Aschan, Lisa
Hatch, Stephani L
Hotopf, Matthew
Venue: BMC Psychiatry
Publisher: Springer Science and Business Media LLC
Published: 2014-10-08
Volume: 14
Issue: 1
Pages: 275-275
ISSN: 1471-244X (ISSN-L)
DOI: 10.1186/s12888-014-0275-y
PMC: PMC4195997
OpenAlex: W2021280370
Cited by: 140
References: 39
Citations by year: 2026: 15 · 2025: 17 · 2024: 14 · 2023: 11 · 2022: 21 · 2021: 13 · 2020: 14 · 2019: 6 · 2018: 10 · 2017: 9 · 2016: 5 · 2015: 5
FWCI: 9.40
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (unspecified)
Locations: BMC Psychiatry (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Research Portal (King's College London) (publishedVersion, cc-by)
Funders: South London and Maudsley NHS Foundation Trust
Maudsley Charity
National Institute for Health and Care Research (NF-SI-0507-10088)
Guy's and St Thomas' Charity
King's College London
H. Lundbeck A/S
Medical Research Council (MR/J013471/1)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Keywords: help-seeking, informal support, mental illness, common mental disorders, family support, religious leaders, ethnic differences, age differences, symptom severity, depression, suicidal ideation

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Seeking informal and formal help for mental health problems in the community: a secondary analysis from a psychiatric morbidity survey in South London

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