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School Mental Health

, Volume 11, Issue 4, pp 707–718 | Cite as

Associations Between Depression Literacy and Help-Seeking Behavior for Mental Health Services Among High School Students

  • Cixin WangEmail author
  • Kristine M. Cramer
  • Hsiu-Lan Cheng
  • Kieu Anh Do
Original Paper

Abstract

Despite the growth in school-based mental health services (SBMHS), rates of mental health help-seeking among adolescents remain low, especially for ethnic minority youth. This study examined factors associated with adolescents’ help-seeking of mental health services among a sample of 369 racially diverse high school students (age M = 15.5 years, SD = 0.72, 81.3% were ethnic minorities). We examined the relationships among mental health literacy for depression, knowledge barriers related to services and providers, perceived stigmatization by others, emotional/behavioral difficulties, and actual help-seeking behavior. Logistic regression results showed that adolescents with higher mental health literacy for depression and more emotional/behavioral difficulties are more likely to report seeking help in general and from providers outside of school specifically, but not for services inside of school alone. Asian-American students were less likely to seek help than Caucasian peers. It is important to promote mental health literacy to encourage help-seeking among high school students.

Keywords

Help-seeking behavior Mental health literacy Stigma Emotional and behavioral difficulties 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Counseling, Higher Education, and Special Education, 3234 Benjamin BuildingUniversity of MarylandCollege ParkUSA
  2. 2.Graduate School of EducationUniversity of California, RiversideRiversideUSA
  3. 3.Department of Counseling Psychology, School of EducationUniversity of San FranciscoSan FranciscoUSA
  4. 4.Department of Human Ecology, 2103 Richard A. Henson CenterUniversity of Maryland Eastern ShorePrincess AnneUSA

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