ArticleJMIR mental health2023
The Impact of a Messenger-Based Psychosocial Chat Counseling Service on Further Help-Seeking Among Children and Young Adults: Longitudinal Study.
Article in JMIR mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Digital crisis counseling during wartime: Pre-post outcomes and user experience in Ukrainian and German samples.Internet interventions · 2026Article
- Acceptability and Preliminary Evaluation of a Campus-Integrated Digital Platform (Fruto) for University Students' Mental Health Help-Seeking: Sequential Mixed Methods Study.Journal of medical Internet research · 2026Article
- Co-creating a program theory and evaluability assessment for an Irish single-session, synchronous chat-based youth mental health intervention: implications for outcome evaluation.Frontiers in digital health · 2026Article
- Messenger-based chat counseling for young people in times of personal and global crises: evaluating the long-term feasibility of "krisenchat".Frontiers in digital health · 2026Article
- Large language model performance versus human expert ratings in automated suicide risk assessment.Scientific reports · 2025Article
- Exploring the Characteristics of Online Counseling Chat Services for Youth in Europe: Web Search Study.JMIR mental health · 2025Review
- Contact resolution among Veterans Crisis Line phone and text contacts regarding Veterans Health Administration enrollees.Suicide & life-threatening behavior · 2025Article
- Young males in crisis: pathways, usage and acceptability of an online messenger based psychosocial counselling service.Frontiers in digital health · 2025Article
- The association of socioeconomic status with the success of chat-based online counseling for children and youth: A latent change score modeling approach.Internet interventions · 2024Article
- Predicting recurrent chat contact in a psychological intervention for the youth using natural language processing.NPJ digital medicine · 2024Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental crises have high prevalences in adolescence. Early interventions appear to be highly important to diminish the risk of the deterioration, recurrence, or chronification of symptoms. In recent years, various providers have started offering live chat support in psychological crises. The messenger-based psychological counseling service krisenchat aims to support young people in crises and, if necessary, provide a recommendation for a referral to the health care system or to seek further help from a trusted adult person.
objectiveThis study aimed to investigate the impact of using the counseling service of krisenchat on the further help-seeking behavior of young people, and to identify associated factors of further help-seeking.
methodsThis longitudinal study analyzed anonymous data from 247 individuals who used krisenchat between October 2021 and March 2022, and received a recommendation for further help-seeking. An online survey directly after the chat assessed the perceived helpfulness of the chat and well-being after the chat. After 4 weeks, further help-seeking, facilitators and barriers to help-seeking, and self-efficacy were assessed in an online follow-up survey.
resultsThe most frequently recommended services or persons to seek further help from included a psychotherapist or social psychiatric service (75/225, 33.3%), a school psychologist or school social worker (52/225, 23.1%), and the user's parents (45/225, 20.0%). Of the 247 users, 120 (48.6%) indicated that they contacted the recommended service or person, and of these, 87 (72.5%) stated that they already had an appointment (or talk) with the respective service or person or that an appointment (or talk) was scheduled. The most frequently reported facilitators for further help-seeking were mental health literacy (54/120, 45.0%), improvement of self-efficacy (55/120, 45.8%), and symptom recognition (40/120, 33.3%). In users not displaying further help-seeking behavior, the most frequent barriers included stigmatization (60/127, 47.2%), lack of mental health literacy (59/127, 46.5%), need for self-reliance and autonomy (53/127, 41.7%), and negative family beliefs regarding help services (53/127, 41.7%). Subgroup comparisons indicated significantly higher levels of self-efficacy in users displaying further help-seeking behavior than in those not displaying further help-seeking behavior. Both subgroups did not differ in gender, age, recommended service or person, chat topics, perceived helpfulness, and well-being.
conclusionsThe findings of this study indicate that children and young adults receiving counseling on krisenchat benefit in terms of seeking further help. Further help-seeking seems to be associated with higher levels of self-efficacy.
trial registrationDeutsches Register Klinischer Studien DRKS00026671; https://tinyurl.com/4fm5xe68.
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