Barriers of mental health treatment utilization among first-year college students: first cross-national results from the WHO World Mental Health International College Student Initiative

Ebert, David Daniel; Mortier, Philippe; Kaehlke, Fanny; Bruffaerts, Ronny; Baumeister, Harald; Auerbach, Randy P.; Alonso, Jordi; Vilagut, Gemma; Martínez, Kalina U.; Lochner, Christine; Cuijpers, Pim; Kuechler, Ann-Marie; Green, Jennifer; Hasking, Penelope; Lapsley, Coral; Sampson, Nancy A.; Kessler, Ronald C.; WHO World Mental Health-International College Student Initiative collaborators; Borges, Guilherme; Medina-Mora, María Elena

dc.creator	Ebert, David Daniel	es_ES
dc.creator	Mortier, Philippe	es_ES
dc.creator	Kaehlke, Fanny	es_ES
dc.creator	Bruffaerts, Ronny	es_ES
dc.creator	Baumeister, Harald	es_ES
dc.creator	Auerbach, Randy P.	es_ES
dc.creator	Alonso, Jordi	es_ES
dc.creator	Vilagut, Gemma	es_ES
dc.creator	Martínez, Kalina U.	es_ES
dc.creator	Lochner, Christine	es_ES
dc.creator	Cuijpers, Pim	es_ES
dc.creator	Kuechler, Ann-Marie	es_ES
dc.creator	Green, Jennifer	es_ES
dc.creator	Hasking, Penelope	es_ES
dc.creator	Lapsley, Coral	es_ES
dc.creator	Sampson, Nancy A.	es_ES
dc.creator	Kessler, Ronald C.	es_ES
dc.creator	WHO World Mental Health-International College Student Initiative collaborators	es_ES
dc.creator	Borges, Guilherme	es_ES
dc.creator	Medina-Mora, María Elena	es_ES
dc.date	2019
dc.date.accessioned	2022-08-31T19:38:57Z
dc.date.available	2022-08-31T19:38:57Z
dc.date.issued	2019
dc.identifier	JC042	es_ES
dc.identifier.issn	1049-8931
dc.identifier.uri	http://repositorio.inprf.gob.mx/handle/123456789/7584
dc.identifier.uri	https://doi.org/10.1002/mpr.1782
dc.identifier.uri	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522323/
dc.description	Background: Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university students, the majority of students with these problems remain untreated. It is unclear what the barriers are to these students seeking treatment. Aims: The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year college students. Method: As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, college-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. Results: Only 24.6% of students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. Conclusions: The majority of first-year college students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to student who report hesitation about seeking treatment.	es_ES
dc.format	PDF	es_ES
dc.language.iso	eng	es_ES
dc.publisher	John Wiley & Sons	es_ES
dc.relation	28(2)e1782, 1-14
dc.rights	Acceso Cerrado	es_ES
dc.title	Barriers of mental health treatment utilization among first-year college students: first cross-national results from the WHO World Mental Health International College Student Initiative	es_ES
dc.type	Artículo	es_ES
dc.contributor.affiliation	Clinical Psychology and Psychotherapy, Department of Psychology, Friedrich‐Alexander‐University Erlangen‐Nürnberg, Erlangen, Germany
dc.contributor.email	david.ebert@fau.de
dc.relation.jnabreviado	INT J METHODS PSYCHIATR RES
dc.relation.journal	International Journal of Methods in Psychiatric Research
dc.identifier.place	Estados Unidos
dc.date.published	2019
dc.identifier.organizacion	Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn	1557-0657
dc.identifier.doi	10.1002/mpr.1782
dc.subject.kw	Epidemiology
dc.subject.kw	Public mental health
dc.subject.kw	Service utilization
dc.subject.kw	Student
dc.subject.kw	Treatment gap

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