School of Population and Public Health, Simon Fraser University, Burnaby, BC, Canada.
Office of Education, Centre for Addiction and Mental Health, Toronto, ON, Canada.
J Med Internet Res. 2020 Oct 5;22(10):e18514. doi: 10.2196/18514.
Transition-aged youth are particularly vulnerable to mental health problems, yet they are one of the least likely demographic groups to seek help.
The aim of this study is to explore the influences on and patterns in help-seeking for mental health concerns among transition-aged youth who attend postsecondary schools in Canada.
A qualitative research design was used, involving 12 semistructured focus groups with transition-aged youth (17-29 years) who attended postsecondary schools in Canada. A thematic analysis was conducted to code the transcripts and develop themes.
Four main themes and subthemes regarding the process and experience of help-seeking were generated: (1) the influence of formal service providers (accessibility and experiences), (2) the influence of social factors (system navigation and stigma), (3) the influence of health literacy (symptom recognition, acting on symptoms, digital tools and the internet, and mental health awareness campaigns), and (4) the influence of low-intensity sources of support, namely, self-help.
Transition-aged youth seek help for mental health problems in different ways. Despite efforts to improve access to mental health services, transition-aged youth continue to face barriers to accessing these services, especially formal sources of support. The factors identified in this study that either hinder or facilitate help-seeking have pragmatic implications for developing help-seeking interventions and delivering mental health services for this population. In addition to other facilitators, family physicians are an important resource in the help-seeking process. Furthermore, digital help-seeking tools have unique characteristics that may make them an important source of support for transition-aged youth.
过渡年龄段的青年特别容易受到心理健康问题的影响,但他们是最不可能寻求帮助的人群之一。
本研究旨在探讨加拿大接受高等教育的过渡年龄段青年寻求心理健康问题帮助的影响因素和模式。
采用定性研究设计,对 12 名在加拿大接受高等教育的过渡年龄段青年(17-29 岁)进行了 12 次半结构化焦点小组访谈。采用主题分析方法对转录本进行编码并开发主题。
得出了关于寻求帮助的过程和体验的四个主要主题和子主题:(1)正式服务提供者的影响(可及性和经验),(2)社会因素的影响(系统导航和污名化),(3)健康素养的影响(症状识别、对症状的行动、数字工具和互联网以及心理健康宣传活动),以及(4)低强度支持来源的影响,即自助。
过渡年龄段的青年以不同的方式寻求心理健康问题的帮助。尽管为改善心理健康服务的可及性做出了努力,但过渡年龄段的青年在获得这些服务方面仍然面临障碍,尤其是正式的支持来源。本研究确定的那些阻碍或促进寻求帮助的因素对为该人群开发寻求帮助的干预措施和提供心理健康服务具有实际意义。除了其他促进因素外,家庭医生是寻求帮助过程中的重要资源。此外,数字寻求帮助的工具具有独特的特点,这可能使它们成为过渡年龄段青年的重要支持来源。