Skip to main content

Advertisement

Log in

The influence of stigma on young people’s help-seeking intentions and beliefs about the helpfulness of various sources of help

  • Original Paper
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Purpose

In this study, we examined whether young people’s help-seeking intentions and beliefs about the helpfulness of various sources of help are influenced by their own, and their parents’ stigmatising attitudes towards young people with mental disorders.

Methods

A national telephone survey was conducted with 3,746 Australians aged 12–25 years and 2,005 of their parents. Stigmatising attitudes, help-seeking intentions, and perceived helpfulness of various sources of help were assessed in relation to four vignettes of a young person with a mental disorder (psychosis, depression, depression with alcohol misuse or social phobia).

Results

Unlike ‘stigma perceived in others’, the ‘weak-not-sick’, ‘social distance’ and ‘dangerous/unpredictable’ dimensions of young people’s stigma were associated with both help-seeking intentions and helpfulness beliefs about various sources of help. Attributing mental disorder to a personal weakness rather than an illness was associated with less intention to seek help from a doctor and less positive beliefs about professional sources (including doctors, counsellors, and psychologists). In contrast, young adults aged 18–25 years who perceived the vignette character as more dangerous or unpredictable had greater intention to seek help from a psychiatrist and a helpline, and more positive beliefs about psychiatrists. Greater social distance was associated with less intention to seek help from informal sources and less positive beliefs about these sources. No consistent pattern of associations was found for parent stigma.

Conclusions

The findings suggest that different dimensions of youth stigma differentially influence help-seeking intentions and beliefs about the helpfulness of different sources of help.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Andrews G, Henderson S, Hall W (2001) Prevalence, comorbidity, disability and service utilisation: overview of the Australian National Mental Health Survey. Br J Psychiatry 178:145–153

    Article  PubMed  CAS  Google Scholar 

  2. Pescosolido BA, Martin JK, Lang A, Olafsdottir S (2008) Rethinking theoretical approaches to stigma: a framework integrating normative influences on stigma (FINIS). Soc Sci Med 67:431–440

    Article  PubMed  Google Scholar 

  3. Mukolo A, Heflinger CA, Wallston KA (2010) The stigma of childhood mental disorders: a conceptual framework. J Am Acad Child Adolesc Psychiatry 49:92–103

    PubMed  Google Scholar 

  4. Belloch A, del Valle G, Morillo C, Carrió C, Cabedo E (2009) To seek advice or not to seek advice about the problem: the help-seeking dilemma for obsessive-compulsive disorder. Soc Psychiatry Psychiatr Epidemiol 44:257–264

    Article  PubMed  Google Scholar 

  5. Fröjd S, Marttunen M, Pelkonen M, von der Pahlen B, Kaltiala-Heino R (2007) Adult and peer involvement in help-seeking for depression in adolescent population. Soc Psychiatry Psychiatr Epidemiol 42:945–952

    Article  PubMed  Google Scholar 

  6. Penn DL, Judge A, Jamieson P, Garczynski J, Hennessy M, Romer D (2005) Stigma. In: Evans DL, Foa EB, Gur R, Hendin H, O’Brien CP, Seligman MEP, Walsh BT (eds) Stigma. Oxford University Press, Oxford

    Google Scholar 

  7. Quinn N, Wilson A, MacIntyre G, Tinklin T (2009) ‘People look at you differently’: students’ experience of mental health support within higher education. Br J Guid Couns 37:405–418

    Article  Google Scholar 

  8. Komiti A, Judd F, Jackson H (2006) The influence of stigma and attitudes on seeking help from a GP for mental health problems: a rural context. Soc Psychiatry Psychiatr Epidemiol 41:738–745

    Article  PubMed  Google Scholar 

  9. ten Have M, de Graaf R, Ormel J, Vilagut G, Kovess V, Alonso J (2010) Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders. Soc Psychiatry Psychiatr Epidemiol 45:153–163

    Article  PubMed  CAS  Google Scholar 

  10. Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C (2004) Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. Br J Psychiatry 185:342–349

    Article  PubMed  Google Scholar 

  11. Corrigan PW (2004) How stigma interferes with mental health care. Am Psychol 59:614–625

    Article  PubMed  Google Scholar 

  12. Griffiths KM, Nakane Y, Christensen H, Yoshioka K, Jorm AF, Nakane H (2006) Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry 6:21

    Article  PubMed  Google Scholar 

  13. Vogel D, Wade NG, Hackler AH (2007) Perceived public stigma and the willingness to seek counseling: the mediating roles of self-stigma and attitudes toward counseling. J Couns Psychol 54:40–50

    Article  Google Scholar 

  14. Jorm AF, Griffiths KM (2008) The public’s stigmatizing attitudes towards people with mental disorders: how important are biomedical conceptualizations? Acta Psychiatr Scand 118:315–321

    Article  PubMed  CAS  Google Scholar 

  15. Mojtabai R (2009) Mental illness stigma and willingness to seek mental health care in the European Union. Soc Psychiatry Psychiatr Epidemiol 45(7):705–712

    Google Scholar 

  16. Golberstein E, Eisenberg D, Gollust SE (2009) Perceived stigma and help-seeking behavior: longitudinal evidence from the Healthy Minds study. Psychiatr Serv 60:1254–1256

    Article  PubMed  Google Scholar 

  17. Schomerus G, Matschinger H, Angermeyer MC (2009) The stigma of psychiatric treatment and help-seeking intentions for depression. Eur Arch Psychi Clin Neurosci 259:298–306

    Article  Google Scholar 

  18. Cooper AE, Corrigan PW, Watson AC (2003) Mental illness stigma and care seeking. J Nerv Ment Dis 191:339–341

    Article  PubMed  Google Scholar 

  19. Angermeyer M, Matschinger H (2005) Labeling–stereotype–discrimination—an investigation of the stigma process. Soc Psychiatry Psychiatr Epidemiol 40:391–395

    Article  PubMed  Google Scholar 

  20. Marie D, Miles B (2008) Social distance and perceived dangerousness across four diagnostic categories of mental disorder. Aust N Z J Psychiatry 42:126–133

    Article  PubMed  Google Scholar 

  21. Jorm AF, Wright A (2007) Beliefs of young people and their parents about the effectiveness of interventions for mental disorders. Aust N Z J Psychiatry 41:656–666

    Article  PubMed  Google Scholar 

  22. Jorm AF, Wright A, Morgan AJ (2007) Where to seek help for a mental disorder? National survey of the beliefs of Australian youth and their parents. Med J Aust 187:556–560

    PubMed  Google Scholar 

  23. Jorm AF, Wright A, Morgan AJ (2007) Beliefs about appropriate first aid for young people with mental disorders: findings from an Australian national survey of youth and parents. Early Interv Psychiatry 1:61–70

    Article  PubMed  Google Scholar 

  24. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand LT, Walters EE, Zaslavsky AM (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32:959–976

    Article  PubMed  CAS  Google Scholar 

  25. Jorm AF, Wright A (2008) Influences on young people’s stigmatising attitudes towards peers with mental disorders: national survey of young Australians and their parents. Br J Psychiatry 192:144–149

    Article  PubMed  Google Scholar 

  26. Jorm AF, Blewitt KA, Griffiths KM, Kitchener BA, Parslow RA (2005) Mental health first aid responses of the public: results from an Australian national survey. BMC Psychiatry 5:9

    Article  PubMed  Google Scholar 

  27. Jorm AF, Oh E (2009) Desire for social distance from people with mental disorders. Aust N Z J Psychiatry 43:183–200

    Article  PubMed  Google Scholar 

  28. Vanheusden K, Mulder CL, van der Ende J, van Lenthe FJ, Mackenbach JP, Verhulst FC (2008) Young adults face major barriers to seeking help from mental health services. Patient Educ Couns 73:97–104

    Article  PubMed  Google Scholar 

  29. Jorm AF, Griffiths KM, Christensen H, Korten AE, Parslow RA, Rodgers B (2003) Providing information about the effectiveness of treatment options to depressed people in the community: a randomized controlled trial of effects on mental health literacy, help-seeking and symptoms. Psychol Med 33:1071–1079

    Article  PubMed  CAS  Google Scholar 

  30. Gaebel W, Za¨ske H, Baumann AT (2006) The relationship between mental illness severity and stigma. Acta Psychiatr Scand 113:41–45

    Article  Google Scholar 

  31. Stier A, Hinshaw S (2007) Explicit and implicit stigma against individuals with mental illness. Aust Psychol 42:106–117

    Article  Google Scholar 

  32. Raviv A, Raviv A, Vago-Gefen I, Fink AS (2009) The personal service gap: factors affecting adolescents’ willingness to seek help. J Adol 32:483–499

    Article  Google Scholar 

  33. Wright A, Jorm AF, Harris MG, McGorry PD (2007) What’s in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences? Soc Psychiatry Psychiatr Epidemiol 42:244–250

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by funding from a National Health and Medical Research Council Program Grant, beyondblue: the National Depression Initiative and the Colonial Foundation.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marie B. H. Yap.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yap, M.B.H., Wright, A. & Jorm, A.F. The influence of stigma on young people’s help-seeking intentions and beliefs about the helpfulness of various sources of help. Soc Psychiatry Psychiatr Epidemiol 46, 1257–1265 (2011). https://doi.org/10.1007/s00127-010-0300-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-010-0300-5

Keywords

Navigation