Cited by 257Health Literacy and Information AccessibilityMental Health Treatment and AccessImpact of Technology on Adolescents

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The internet as a setting for mental health service utilisation by young people

Burns, Jane M, Davenport, Tracey A, Durkin, Lauren A, Luscombe, Georgina M, Hickie, Ian B·2010·Medical Journal of Australia

DOI 10.5694/j.1326-5377.2010.tb03688.x

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Abstract

OBJECTIVE: To explore patterns of internet use by young people in Australia and assess the usefulness of online resources for mental health problems, exploring functionality that may be relevant in the development of online mental health services. DESIGN AND PARTICIPANTS: Cross-sectional survey of a nationally representative sample of young people (2000 randomly selected participants aged 12-25 years), via telephone interview, conducted in January-March 2008. MAIN OUTCOME MEASURES: Patterns of internet use including type of use, social networking, sources of information about mental health, alcohol or other substance use problems and levels of satisfaction with the information, and type of information accessed via websites. RESULTS: Young people reported using the internet to connect with other young people (76.9%; 1464/1905) and to seek information about a mental health problem, regardless of whether they had a problem themselves (38.8%; 735/1894). Twenty per cent of young people (398/1990) had personally experienced a mental health problem in the previous 5 years; when these people were asked about sources of information used for this problem, 30.8% (70/227) reported searching the internet. Patterns of internet use and types of resources used differed by age and sex. CONCLUSION: Our findings suggest that technology is important in the everyday lives of young people, and online mental health services that encompass promotion and prevention activities should include a variety of resources that appeal to all ages and both sexes, such as "question and answer" forums and email.

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Offline Versus Online Suicide-Related Help Seeking: Changing Domains, Changing Paradigms
Seward, A.-L., & Harris, K. M. (2016) · Journal of Clinical Psychology · doi:10.1002/jclp.22282 · Cited by 56
The role of technology in Australian youth mental health reform
Burns, J. M., Birrell, E., Bismark, M., Pirkis, J., Davenport, T. A., Hickie, I. B., Weinberg, M. K., & Ellis, L. A. (2016) · Australian Health Review · doi:10.1071/ah15115 · Cited by 54
Effectiveness of a Web-Based Screening and Fully Automated Brief Motivational Intervention for Adolescent Substance Use: A Randomized Controlled Trial
Arnaud, N., Baldus, C., Elgán, T. H., Paepe, N. D., Tønnesen, H., Csémy, L., & Thomasius, R. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4643 · Cited by 50
“Due to the high Internet access rates in contemporary societies and the fact that youth typically use the Internet when searching for information about alcohol and drugs and also are reluctant to disclose alcohol- and drug-related behavior in face-to-face contacts, Web-based interventions hold promise for younger popu…”
Designing, Prototyping and Evaluating Digital Mindfulness Applications: A Case Study of Mindful Breathing for Stress Reduction
Zhu, B., Hedman, A., Feng, S., Li, H., & Osika, W. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6955 · Cited by 51
“With digital technologies potentially revolutionizing health and well-being, people increasingly turn to technology to handle stress, anxiety, social isolation, and negative emotions [26-28].”
E-Mental Health Care Among Young Adults and Help-Seeking Behaviors: A Transversal Study in a Community Sample
Younès, N., Chollet, A., Ménard, E., & Melchior, M. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4254 · Cited by 48
Seeking health- and nutrition-related information on the Internet in a large population of French adults: results of the NutriNet-Santé study
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“This process is already in place in the USA and Australia (45,46) .”
A Virtual Mental Health Clinic for University Students: A Qualitative Study of End-User Service Needs and Priorities
Farrer, L. M., Gulliver, A., Chan, J. K., Bennett, K., & Griffiths, K. M. (2015) · JMIR Mental Health · doi:10.2196/mental.3890 · Cited by 47
“Screenshots of other Internet resources were provided to students to provide a context for the discussion.”
BackgroundInfluential
It’s Not About “Freudian Couches and Personality Changing Drugs”: An Investigation Into Men’s Mental Health Help-Seeking Enablers
Harding, C., & Fox, C. (2015) · American Journal of Men s Health · doi:10.1177/1557988314550194 · Cited by 46
A novel multi-component online intervention to improve the mental health of university students: Randomised controlled trial of the Uni Virtual Clinic
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“…that 72% of young people aged 18 – 25 years believed that websites were helpful for managing mental health problems (Oh et al., 2009), and almost half of the young people in another study stated that they had used the internet to access information about mental disorders (Burns et al., 2010).”
Background
Informing the Future of Integrated Digital and Clinical Mental Health Care: Synthesis of the Outcomes From Project Synergy
LaMonica, H. M., Iorfino, F., Lee, G. Y., Piper, S., Occhipinti, J., Davenport, T. A., Cross, S. P. M., Milton, A. C., Ospina‐Pinillos, L., Whittle, L., et al. (2022) · JMIR Mental Health · doi:10.2196/33060 · Cited by 46
“Critical learnings from Project Synergy [Figure 7 [4,6,15,19-20,22,27-28,31,36-38,43,53-59]].”
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Beyond symptom monitoring: Consumer needs for bipolar disorder self-management using smartphones
Nicholas, J., Boydell, K., & Christensen, H. (2017) · European Psychiatry · doi:10.1016/j.eurpsy.2017.05.023 · Cited by 41
“Technology use Use of technology was assessed using three questions previously used in national surveys of technology and mental health [13,14].”
Method
F120. USING DIGITAL MEDIA ADVERTISING IN EARLY PSYCHOSIS INTERVENTION
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Online Indicated Preventive Mental Health Interventions for Youth: A Scoping Review
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Internet-Delivered Interventions for Depression and Anxiety Symptoms in Children and Young People: Systematic Review and Meta-analysis
Eilert, N., Wogan, R., Leen, A., & Richards, D. (2022) · JMIR Pediatrics and Parenting · doi:10.2196/33551 · Cited by 43
“Young people use the internet to access information regarding mental health issues, to obtain support for issues when in need, and to connect with peers [19].”
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Mental health help-seeking patterns and perceived barriers for care among nulliparous pregnant women
Costa, D. D., Zelkowitz, P., Nguyen, T. V., & Deville-Stoetzel, J.-B. (2018) · Archives of Women s Mental Health · doi:10.1007/s00737-018-0864-8 · Cited by 43
The Optimization of an eHealth Solution (Thought Spot) with Transition-Aged Youth in Postsecondary Settings: Participatory Design Research
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“An Australian survey reported similar findings, with one-third of 18- to 25-year-olds reporting primarily depending on the internet for information about mental health or substance use problems [3].”
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The Effectiveness of Online Counseling for University Students in Turkey: A Non-Randomized Controlled Trial
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“A possible explanation of this finding might be that a substantial proportion of university students use the Internet and computer technologies on a daily life basis (Burns et al., 2010).”
Background
Encouraging young men's participation in mental health research and treatment: perspectives in our technological age
Ellis, L. A., McCabe, K. L., Rahilly, K. A., Nicholas, M. A., Davenport, T. A., Burns, J. M., & Hickie, I. B. (2014) · Clinical Investigation · doi:10.4155/cli.14.61 · Cited by 38
Self-citation
Youth mental health: we know where we are and we can now say where we need to go next
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Dr Google, porn and friend-of-a-friend: where are young men really getting their sexual health information?
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Computing in Mental Health
Calvo, R. A., Dinakar, K., Picard, R. W., & Maes, P. (2016) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/2851581.2856463 · Cited by 40
“This section is required.”
The Brisbane Longitudinal Twin Study: Pathways to Cannabis Use, Abuse, and Dependence Project—Current Status, Preliminary Results, and Future Directions
Gillespie, N. A., Henders, A. K., Davenport, T., Hermens, D. F., Wright, M. J., Martin, N. G., & Hickie, I. B. (2012) · Twin Research and Human Genetics · doi:10.1017/thg.2012.111 · Cited by 38
“Five items from the headspace National Telephone Survey (Burns et al., 2010) were also included to evaluate the prevalence of lifetime mental health diagnoses and treatment experiences.”
Young People’s Satisfaction With the Online Mental Health Service eheadspace: Development and Implementation of a Service Satisfaction Measure
Rickwood, D., Wallace, A. M. R., Kennedy, V., O’Sullivan, S., Telford, N. R., & Leicester, S. (2018) · JMIR Mental Health · doi:10.2196/12169 · Cited by 44
“The measure could be adapted for use with other online youth mental health services, which are emerging as a critical setting for mental health service provision as part of stepped-care approaches in mental health [18].”
Using Cluster Analysis to Explore Engagement and e-Attainment as Emergent Behavior in Electronic Mental Health
Sanatkar, S., Baldwin, P. A., Huckvale, K., Clarke, J., Christensen, H. M., Harvey, S. B., & Proudfoot, J. G. (2019) · Journal of Medical Internet Research · doi:10.2196/14728 · Cited by 35
“Although some eMH consumers seek treatment for a specific mental health condition, others may use eMH programs to navigate periods of general distress or to build resilience [17,18].”
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The importance and benefits of youth participation in mental health settings from the perspective of the headspace Gosford Youth Alliance in Australia
Coates, D., & Howe, D. J. (2014) · Children and Youth Services Review · doi:10.1016/j.childyouth.2014.09.012 · Cited by 34
A systematic scoping review of adolescent mental health treatment using mobile apps
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Evaluation of ReachOut.com, an Unstructured Digital Youth Mental Health Intervention: Prospective Cohort Study
Kahl, B. L., Miller, H. M., Cairns, K., Giniunas, H., & Nicholas, M. (2020) · JMIR Mental Health · doi:10.2196/21280 · Cited by 31
“Australian research indicates that approximately one in five 12 to 17-year-old adolescents, and one in three 18 to 25-year-old adults who have experienced a mental health problem have used internet search engines to access mental health information [20].”
Facilitating mental health help-seeking by young adults with a dedicated online program: a feasibility study of Link
Kauer, S. D., Buhagiar, K., Blake, V., Cotton, S., & Sanci, L. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-015303 · Cited by 30
Utilizing Machine Learning on Internet Search Activity to Support the Diagnostic Process and Relapse Detection in Young Individuals With Early Psychosis: Feasibility Study
Birnbaum, M., Kulkarni, P., Meter, A. V., Chen, V., Rizvi, A., Arenare, E., de Choudhury, M., & Kane, J. (2020) · JMIR Mental Health · doi:10.2196/19348 · Cited by 30
“Moreover, searching online has become a primary resource for youth seeking mental health–related information [15-20].”
Background
Familiarity with and intentions to use Internet-delivered mental health treatments among older rural adults
Handley, T., Perkins, D., Kay-Lambkin, F., Lewin, T., & Kelly, B. (2015) · Aging & Mental Health · doi:10.1080/13607863.2014.981744 · Cited by 29
“A recent study in Australia found that one-third of young people with a mental health problem had used the Internet as a source of information about their condition (Burns et al., 2010).”
Background
Professional and informal mental health support reported by Canadians aged 15 to 24.
Findlay, L., & Sunderland, A. (2014) · PubMed · Cited by 29
The Acceptability and Effectiveness of an Online Intervention for Youth With Parents With a Mental Illness and/or Substance Use Issue
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Understanding young adults’ attitudes towards using AI chatbots for psychotherapy: The role of self-stigma
Hoffman, B. D., Oppert, M. L., & Owen, M. S. (2024) · Computers in Human Behavior Artificial Humans · doi:10.1016/j.chbah.2024.100086 · Cited by 34
An Online Intervention to Promote Mental Health and Wellbeing for Young Adults Whose Parents Have Mental Illness and/or Substance Use Problems: Theoretical Basis and Intervention Description
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“As young adults often prefer anonymous sources of help to traditional services (54), online interventions provide an ideal opportunity to intervene with this vulnerable group.”
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Encouraging help-seeking and engagement in a mental health app: What young people want
Garrido, S., Oliver, E., Chmiel, A., Doran, B., & Boydell, K. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.1045765 · Cited by 32
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A literature review and meta‐analysis of drug company–funded mental health websites
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“[1] Health information per se can be obtained from various sources, i.e., websites, apps, forums, social networks, and blogs which were quite popular modes among users of Internet.”
BackgroundInfluential
The Quik Fix study: a randomised controlled trial of brief interventions for young people with alcohol-related injuries and illnesses accessing emergency department and crisis support care
Hides, L. M., Kavanagh, D. J., Daglish, M. R. C., Cotton, S., Connor, J. P., Barendregt, J. J., Young, R. M., Sanders, D., White, A., & Mergard, L. (2014) · BMC Emergency Medicine · doi:10.1186/1471-227x-14-19 · Cited by 28
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Clarke, J., Proudfoot, J. G., Vatiliotis, V., Verge, C. F., Holmes-Walker, D. J., Campbell, L. V., Wilhelm, K. A., Moravac, C. C., Indu, P. S., & Bridgett, M. (2018) · Health Expectations · doi:10.1111/hex.12662 · Cited by 27
Enhancing Self-Efficacy for Help-Seeking Among Transition-Aged Youth in Postsecondary Settings With Mental Health and/or Substance Use Concerns, Using Crowd-Sourced Online and Mobile Technologies: The Thought Spot Protocol
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“With more than 90% of youth using the Internet [26-28], Web-based electronic health (eHealth) and mobile-based health (mHealth) interventions have been identified as promising tools for reaching this age group [11,27,29-32], potentially bridging the gap for hard-to-reach populations such as young…”
Understanding University Students' Perspectives towards Digital Tools for Mental Health Support: A Cross-country Study
Riboldi, I., Calabrese, A., Piacenti, S., Capogrosso, C. A., Paioni, S. L., Bartoli, F., Carrà, G., Armes, J., Taylor, C., & Crocamo, C. (2024) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/0117450179271467231231060255 · Cited by 34

Authors: Burns, J. M., Davenport, T. A., Durkin, L. A., Luscombe, G. M., & Hickie, I. B.
Affiliations: The University of Melbourne (AU)
The University of Sydney (AU)
Inspire Foundation, Sydney, NSW.
Corresponding author: Burns, Jane M
ORCID: Burns, Jane M
Davenport, Tracey A
Luscombe, Georgina M
Hickie, Ian B
Venue: Medical Journal of Australia
Publisher: Wiley
Published: 2010-06
Volume: 192
Issue: S11
Pages: S22-6
ISSN: 0025-729X (ISSN-L)
1326-5377
DOI: 10.5694/j.1326-5377.2010.tb03688.x
OpenAlex: W2427563253
Cited by: 257
References: 37
Citations by year: 2026: 6 · 2025: 15 · 2024: 14 · 2023: 16 · 2022: 22 · 2021: 17 · 2020: 17 · 2019: 19 · 2018: 15 · 2017: 17 · 2016: 25 · 2015: 24 · 2014: 23 · 2013: 10 · 2012: 7
FWCI: 15.34
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 6 d)
doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
Locations: The Medical Journal of Australia (publishedVersion)
PubMed (publishedVersion)
Funders: University of Sydney
Topics: Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Keywords: internet use, youth, mental health service utilization, online mental health services, mental health information seeking, social networking, age and sex differences, mental health promotion and prevention
MeSH terms: Adolescent, Adolescent Behavior, Adult, Age Factors, Australia, Child, Cross-Sectional Studies, Humans, Interviews as Topic, Mental Health Services, Patient Acceptance of Health Care, Sex Factors, Social Support, Internet, Young Adult

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The internet as a setting for mental health service utilisation by young people

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