Journal of Medical Internet Research (Oct 2020)

Help-Seeking Behaviors of Transition-Aged Youth for Mental Health Concerns: Qualitative Study

  • Stunden, Chelsea,
  • Zasada, Julie,
  • VanHeerwaarden, Nicole,
  • Hollenberg, Elisa,
  • Abi-Jaoudé, Alexxa,
  • Chaim, Gloria,
  • Cleverley, Kristin,
  • Henderson, Joanna,
  • Johnson, Andrew,
  • Levinson, Andrea,
  • Lo, Brian,
  • Robb, Janine,
  • Shi, Jenny,
  • Voineskos, Aristotle,
  • Wiljer, David

DOI
https://doi.org/10.2196/18514
Journal volume & issue
Vol. 22, no. 10
p. e18514

Abstract

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BackgroundTransition-aged youth are particularly vulnerable to mental health problems, yet they are one of the least likely demographic groups to seek help. ObjectiveThe 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. MethodsA 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. ResultsFour 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. ConclusionsTransition-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.