Evidence map›Paper›PMID 36112162›Full record

ArticleSocial psychiatry and psychiatric epidemiology2023

Autonomy versus support: self-reliance and help-seeking for mental health problems in young people.

Amelia Ishikawa, Debra Rickwood, Emily Bariola, Navjot Bhullar

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amelia IshikawaFaculty of Health, University of Canberra, Canberra, ACT, Australia.
Debra RickwoodFaculty of Health, University of Canberra, Canberra, ACT, Australia. debra.rickwood@canberra.edu.au.ORCID http://orcid.org/0000-0002-4227-0231
Emily BariolaKantar Public, Melbourne, VIC, Australia.
Navjot BhullarDiscipline of Psychology, Edith Cowan University, Perth, WA, Australia.ORCID http://orcid.org/0000-0002-1616-6094

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany young people with mental ill-health do not seek support, and developmental growth in self-reliance may be a barrier to help-seeking. Increasing autonomy is a positive developmental task for youth and a key aspect of resilience. This study examined the influence of perceived social support and resilience on the previously unexamined relationship between self-reliance and intentions to seek help from informal, professional, and self-help sources for mental health problems.

methodsAn online survey was completed by a representative Australian community sample of 5,203 young people aged 12-25 years (half female), in May-June 2020.

resultsPath analysis showed the hypothesised conceptual model did not fit the data well, but a modified model was a good fit. Higher self-reliance was associated with lower intentions to seek informal and professional help, as expected, but not with greater intentions for self-help. The relationship between self-reliance and informal help-seeking intentions was fully mediated by perceived social support, whereas the relationship between self-reliance and professional help-seeking was also direct. Perceived social support fully mediated the relationship between self-reliance and resilience. Intentions to use self-help were not influenced by variables in the study, but higher self-help intentions were associated with higher professional help-seeking intentions. Associations were consistent across age and gender groups.

conclusionThe results show the critical role of social support for combating some of the unhelpful aspects of self-reliance for mental health help-seeking in young people. Future research should explore how self-reliance can hinder or be harnessed to facilitate accessing appropriate mental health.

Indexed as

Help-Seeking BehaviorMental DisordersMental Health ServicesAdolescentAustraliaFemaleHumansMental HealthPatient Acceptance of Health CareSocial SupportHelp-seekingMental health problemsPerceived social supportResilienceSelf-relianceYouth

Identifiers

PMID36112162
PMCPMC9971084

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.