Despite the high prevalence of mental health concerns in university populations, students are unlikely to seek formal help. The current study examined help-seeking behaviors among emerging adults in a university setting using a mental health literacy framework. Responses from 122 university undergraduates were examined. Students ranged in age from 17 to 25 years (M = 20.67 years, SD = 2.03 years). Quantitative data were collected to determine students’ knowledge and use of campus services and to compare students’ awareness and appraisal of common mental health symptoms. Narrative data were collected to identify the key symptoms that are appraised to be “early warning signs” versus “early action signs,” and to identify barriers and facilitators to help-seeking. Mental health symptoms were more likely to be assessed as warning signs than signs warranting action. Lack of knowledge and stigma were barriers to help-seeking, while urging from family and friends, increased knowledge, and confidentiality were identified as facilitators to help-seeking. Emerging adults in a university setting tend to make distinctions between warning and action signs. Although demonstrating good awareness of the signs of declining mental health, students may respond reactively rather than proactively to symptoms.

Adlaf, E. M., Gliksman, L., Demers, A., Newton-Taylor, B. (2001). The prevalence of elevated psychological distress among Canadian undergraduates: Findings from the 1998 Canadian Campus Survey. Journal of American College Health, 50, 67-72. doi:10.1080/07448480109596009
Google Scholar | Crossref | Medline | ISI
Biddle, L., Donovan, K., Sharp, D., Gunnell, D. (2007). Explaining non-help-seeking amongst young adults with mental distress: A dynamic interpretive model of illness behaviour. Sociology of Health & Illness, 29, 983-1002. doi:10.1111/j.1467-9566.2007.01030.x
Google Scholar | Crossref | Medline | ISI
Bradley, E. H., Curry, L. A., Devers, K. J. (2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42, 1758-1772. doi:10.1111/j.1475-6773,2006.00684.x
Google Scholar | Crossref | Medline | ISI
Braun, V., Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. doi:10.1191/1478088706qp063oa
Google Scholar | Crossref
Burns, J. R., Rapee, R. M. (2006). Adolescent mental health literacy: Young people’s knowledge of depression and help seeking. Journal of Adolescence, 29, 225-239. doi:10.1016/j.adolescence.2005.05.004
Google Scholar | Crossref | Medline | ISI
Chen, J. I. (2013). The influence of campus culture on mental health help-seeking intentions (Master’s thesis). Graduate Theses and Dissertations. Retrieved from http://scholarcommons.usf.edu/etd/4809
Google Scholar
Dixon-Woods, M., Agarwal, S., Jones, D., Young, B., Sutton, A. (2005). Synthesising qualitative and quantitative evidence: A review of possible methods. Journal of Health Services Research & Policy, 10, 45-53. doi:10.1258/1355819052801804
Google Scholar | SAGE Journals
Eisenberg, D., Downs, M. F., Golberstein, E., Zivin, K. (2009). Stigma and help seeking for mental health among college students. Medical Care Research and Review, 66, 522-541. doi:10.1177/1077558709335173
Google Scholar | SAGE Journals | ISI
Fischer, E. H., Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36, 368-373.
Google Scholar | ISI
Fischer, E. H., Turner, J. L. (1970). Orientations to seeking professional help: Development and research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79-90. doi:10.1037/h0029636
Google Scholar | Crossref | Medline | ISI
Furnham, A., Cook, R., Martin, N., Batey, M. (2011). Mental health literacy among university students. Journal of Public Mental Health, 10, 198-210.
Google Scholar | Crossref
Golberstein, E., Eisenberg, D., Gollust, S. (2008). Perceived stigma and mental health care seeking. Psychiatric Services, 59, 392-399. doi:10.1176/ps.2008.59.4.392
Google Scholar | Crossref | Medline | ISI
Goodman, I., Peterson-Badali, M., Henderson, J. (2011). Understanding motivation for substance use treatment: The role of social pressure during the transition to adulthood. Addictive Behaviors, 36, 660-668. doi:10.1016/j.addbeh.2011.01.011
Google Scholar | Crossref | Medline | ISI
Gulliver, A., Griffiths, K. M., Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, Article 113. doi:10.1186/1471-244X-10-113
Google Scholar | Crossref | Medline | ISI
Jorm, A. F., Korten, A. E., Jacomb, P. A., Rodgers, B., Pollitt, P. (1997). Beliefs about the helpfulness of interventions for mental disorders: A comparison of general practitioners, psychiatrists and clinical psychologists. Australian & New Zealand Journal of Psychiatry, 31, 844-851. doi:10.3109/00048679709065510
Google Scholar | SAGE Journals | ISI
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593-602. doi:10.1001/archpsyc.62.6.593
Google Scholar | Crossref | Medline
Kisely, S., Scott, A., Denney, J., Simon, G. (2006). Duration of untreated symptoms in common mental disorders: Association with outcomes. International study. British Journal of Psychiatry, 189, 79-80. doi:10.1192/bjp.bp.105.019869
Google Scholar | Crossref | Medline | ISI
Kuo, B. C. H., Kwantes, C. T., Towson, S., Nanson, K. M. (2006). Social beliefs as determinants of attitudes toward seeking professional psychological help among ethnically diverse university students. Canadian Journal of Counselling and Psychotherapy, 40, 224-241.
Google Scholar
Lauber, C., Ajdacic-Gross, V., Fritschi, N., Stulz, N., Rossler, W. (2005). Mental health literacy in an educational elite—An online survey among university students. BMC Public Health, 5, Article 44. doi:10.1186/1471-2458-5-44
Google Scholar | Crossref | Medline | ISI
Livingston, J. D., Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science & Medicine, 71, 2150-2161. doi:10.1016/j.socscimed.2010.09
Google Scholar | Crossref | Medline | ISI
Nam, S. K., Chu, H. J., Lee, M. K., Lee, J. H., Kim, N., Lee, S. M. (2010). A meta-analysis of gender differences in attitudes toward seeking professional psychological help. Journal of American College Health, 59, 110-116. doi:10.1080/07448481.2010.483714
Google Scholar | Crossref | Medline | ISI
Office of Resource Planning, University of Regina . (2011a). Examining the University of Regina student experience demographic and academic profile. Retrieved from http://www.uregina.ca/orp/assets/surveys/cusc-2011-01-demographic-and-academic-experience.pdf
Google Scholar
Office of Resource Planning, University of Regina . (2011b). Examining the University of Regina student experience working and financing education. Retrieved from http://www.uregina.ca/orp/assets/surveys/cusc-2011-02-working-and-financing-education.pdf
Google Scholar
Rickwood, D., Deane, F. P., Wilson, C. J., Ciarrochi, J. (2005). Young people’s help-seeking for mental health problems. Advances in Mental Health, 4, 218-251.
Google Scholar | Crossref
Rosenkranz, S. E., Muller, R. T. (2011). Outcome following inpatient trauma treatment: Differential response based on pre-treatment symptom severity. Psychological Trauma, 3, 453-461. doi:10.1037/a0021778
Google Scholar | Crossref | ISI
Seiffge-Krenke, I., Beyers, W. (2007). Changes in close relationships during the transition to adulthood and their impact on adaptation: Longitudinal approaches: Introduction to the special section. International Journal of Behavioral Development, 31, 537-538. doi:10.1177/0165025407080571
Google Scholar | SAGE Journals | ISI
Smith, C. L., Shochet, I. M. (2011). The impact of mental health literacy on help-seeking intentions: Results of a pilot study with first year psychology students. International Journal of Mental Health Promotion, 13(2), 14-20.
Google Scholar | Crossref
Stuart, H. (2008). Fighting the stigma caused by mental disorders: Past perspectives, present activities, and future directions. World Psychiatry, 7, 185-188.
Google Scholar | Crossref | Medline | ISI
Tabachnick, B. G., Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Allyn & Bacon.
Google Scholar
Yorgason, J. B., Linville, D., Zitzman, B. (2008). Mental health among college students: Do those who need services know about and use them? Journal of American College Health, 57, 173-182. doi:10.3200/JACH.57.2.173-182
Google Scholar | Crossref | Medline | ISI

Author Biographies

Michelle M. Gagnon is a doctoral student in clinical psychology at the University of Regina. Her research focuses on how knowledge translation and literacy can be used to improve patient outcomes and health and mental health service delivery.

Bethany L. Gelinas is a doctoral student in clinical psychology at the University of Regina. Her research interests include non-suicidal self-injury and other self-destructive behaviors, with a focus on the experience of help-seeking and recovery.

Lindsay N. Friesen is a doctoral student in clinical psychology at the University of Regina. Her research focuses on access to mental health treatment, Internet delivered therapy, and knowledge translation.

View access options

My Account

Welcome
You do not have access to this content.



Chinese Institutions / 中国用户

Click the button below for the full-text content

请点击以下获取该全文

Institutional Access

does not have access to this content.

Purchase Content

24 hours online access to download content

Your Access Options


Purchase

JAR-article-ppv for $36.00

Article available in:

Related Articles