Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Department of Rehabilitation, Hanze University of Applied Sciences, Groningen, The Netherlands.
J Ment Health. 2024 Apr;33(2):227-235. doi: 10.1080/09638237.2022.2069720. Epub 2022 May 3.
Adolescents are the least likely to seek help for their mental health problems. School may be an important route to improve early recognition of adolescents with mental health problems in need for support, but little is known about the barriers to school support. Data were collected in a longitudinal cohort study of Dutch adolescents (age 12-16) in secondary school ( = 956). We assessed the relation between level of psychosocial problems at the beginning of the school year (T1) and the support used in school at the end of that school year (T2), whether the willingness to talk to others (measured at T1) mediates this relation, and whether stigma towards help-seeking (T1) moderates this mediation. Adolescents with more psychosocial problems were more likely to use support in school and were less willing to talk to others about their problems, but the willingness to talk to others was not a mediator. Stigma moderated the relationship between psychosocial problems and willingness to talk to others. Most adolescents with psychosocial problems get support in Dutch secondary school regardless of their willingness to talk to others about their problems. However, perceiving stigma towards help-seeking makes it less likely for someone to talk about their problems.
青少年最不可能寻求帮助来解决他们的心理健康问题。学校可能是一个重要途径，可以提高对有需要支持的心理健康问题青少年的早期识别，但对于学校支持的障碍知之甚少。本研究的数据来自荷兰中学（12-16 岁）青少年的纵向队列研究（n=956）。我们评估了学年开始时（T1）的心理社会问题水平与该学年结束时（T2）在学校使用的支持之间的关系，以及是否愿意与他人交谈（在 T1 测量）是否可以调解这种关系，以及对寻求帮助的污名（T1）是否会调节这种调解。有更多心理社会问题的青少年更有可能在学校获得支持，也不太愿意与他人谈论自己的问题，但愿意与他人交谈并不是一个调解因素。污名感调节了心理社会问题与愿意与他人交谈之间的关系。大多数有心理社会问题的青少年在荷兰中学都能获得支持，而不管他们是否愿意与他人谈论自己的问题。然而，对寻求帮助的污名感使得人们更不愿意谈论自己的问题。
