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An examination of sociodemographic and clinical factors influencing help-seeking attitudes and behaviors among adolescents with mental health problems.

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Title: An examination of sociodemographic and clinical factors influencing help-seeking attitudes and behaviors among adolescents with mental health problems.
Authors: Cavelti, Marialuisa, Ruppen, Noemi Anne, Sele, Silvano, Moessner, Markus, Bauer, Stephanie, Becker, Katja, Krämer, Jennifer, Eschenbeck, Heike, Rummel-Kluge, Christine, Thomasius, Rainer, Diestelkamp, Silke, Gillé, Vera, Baldofski, Sabrina, Koenig, Julian, Kaess, Michael
Source: European Child & Adolescent Psychiatry. Apr2025, Vol. 34 Issue 4, p1391-1402. 12p.
Subjects: Self-injurious behavior, Health services accessibility, Risk-taking behavior, Research funding, Mental illness, Statistical sampling, Help-seeking behavior, Severity of illness index, Randomized controlled trials, Alcohol-induced disorders, Eating disorders, Sociodemographic factors, Health promotion, School health services, Pathological psychology, Regression analysis, Mental depression, Adolescence
Abstract: This study investigated sociodemographic and clinical factors influencing help-seeking attitudes and behavior among adolescents with mental health problems. As part of the ProHEAD ("Promoting Help-seeking using E-technology for ADolescents") consortium a school-based, online assessment of sociodemographic information, psychopathology, risk-taking and self-harming behavior, help-seeking attitudes and behavior, and barriers to help-seeking was conducted in adolescents aged ≥ 12 years recruited from randomly selected schools in five regions of Germany. Linear regression analyses with the LMG formula were performed to explore predictors of help-seeking attitudes and behavior and assess their relative importance. Nine thousand five hundred and nine participants (95.5%) completed the online assessment (mean age: 15.1 years, 58.6% female). In total, 1606 participants (16.9%) showed relevant mental health problems (e.g., depressive and eating disorder symptoms, alcohol problems, and thoughts of self-harming behavior). Among them, 895 (55.7%) reported having sought help (lifetime), with higher rates for informal (n = 842, 52.4%) compared to professional (n = 380, 23.7%) sources. High help-seeking propensity emerged as the most important factor contributing to professional help-seeking, followed by elevated levels of psychopathology and perceived barriers, with sociodemographic factors being less impactful. Psychopathological severity also outweighed sociodemographic factors in predicting negative help-seeking attitudes. These findings indicate that attitudes towards seeking professional help, perceived barriers, and psychopathology severity critically influence limited adolescent help-seeking behavior. This emphasizes the need for initiatives that promote help-seeking, reduce negative attitudes, and address structural barriers in adolescent mental health care. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: An examination of sociodemographic and clinical factors influencing help-seeking attitudes and behaviors among adolescents with mental health problems.
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  Data: <searchLink fieldCode="AR" term="%22Cavelti%2C+Marialuisa%22">Cavelti, Marialuisa</searchLink><br /><searchLink fieldCode="AR" term="%22Ruppen%2C+Noemi+Anne%22">Ruppen, Noemi Anne</searchLink><br /><searchLink fieldCode="AR" term="%22Sele%2C+Silvano%22">Sele, Silvano</searchLink><br /><searchLink fieldCode="AR" term="%22Moessner%2C+Markus%22">Moessner, Markus</searchLink><br /><searchLink fieldCode="AR" term="%22Bauer%2C+Stephanie%22">Bauer, Stephanie</searchLink><br /><searchLink fieldCode="AR" term="%22Becker%2C+Katja%22">Becker, Katja</searchLink><br /><searchLink fieldCode="AR" term="%22Krämer%2C+Jennifer%22">Krämer, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Eschenbeck%2C+Heike%22">Eschenbeck, Heike</searchLink><br /><searchLink fieldCode="AR" term="%22Rummel-Kluge%2C+Christine%22">Rummel-Kluge, Christine</searchLink><br /><searchLink fieldCode="AR" term="%22Thomasius%2C+Rainer%22">Thomasius, Rainer</searchLink><br /><searchLink fieldCode="AR" term="%22Diestelkamp%2C+Silke%22">Diestelkamp, Silke</searchLink><br /><searchLink fieldCode="AR" term="%22Gillé%2C+Vera%22">Gillé, Vera</searchLink><br /><searchLink fieldCode="AR" term="%22Baldofski%2C+Sabrina%22">Baldofski, Sabrina</searchLink><br /><searchLink fieldCode="AR" term="%22Koenig%2C+Julian%22">Koenig, Julian</searchLink><br /><searchLink fieldCode="AR" term="%22Kaess%2C+Michael%22">Kaess, Michael</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Apr2025, Vol. 34 Issue 4, p1391-1402. 12p.
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  Label: Abstract
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  Data: This study investigated sociodemographic and clinical factors influencing help-seeking attitudes and behavior among adolescents with mental health problems. As part of the ProHEAD ("Promoting Help-seeking using E-technology for ADolescents") consortium a school-based, online assessment of sociodemographic information, psychopathology, risk-taking and self-harming behavior, help-seeking attitudes and behavior, and barriers to help-seeking was conducted in adolescents aged ≥ 12 years recruited from randomly selected schools in five regions of Germany. Linear regression analyses with the LMG formula were performed to explore predictors of help-seeking attitudes and behavior and assess their relative importance. Nine thousand five hundred and nine participants (95.5%) completed the online assessment (mean age: 15.1 years, 58.6% female). In total, 1606 participants (16.9%) showed relevant mental health problems (e.g., depressive and eating disorder symptoms, alcohol problems, and thoughts of self-harming behavior). Among them, 895 (55.7%) reported having sought help (lifetime), with higher rates for informal (n = 842, 52.4%) compared to professional (n = 380, 23.7%) sources. High help-seeking propensity emerged as the most important factor contributing to professional help-seeking, followed by elevated levels of psychopathology and perceived barriers, with sociodemographic factors being less impactful. Psychopathological severity also outweighed sociodemographic factors in predicting negative help-seeking attitudes. These findings indicate that attitudes towards seeking professional help, perceived barriers, and psychopathology severity critically influence limited adolescent help-seeking behavior. This emphasizes the need for initiatives that promote help-seeking, reduce negative attitudes, and address structural barriers in adolescent mental health care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00787-024-02568-7
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