Evidence map›Paper›PMID 37804301›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2024

Mixed-Methods Examination of Adolescent-Reported Barriers to Accessing Mental Health Services.

Vanesa A Mora Ringle, Jenna Y Sung, Chantelle A Roulston, Jessica L Schleider

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
8.1field-weighted citation impact, top 2% of its field
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

18 citing papers in PubMed, 28 citations in OpenAlex.

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  9. Barriers to Mental Health Support and Recommendations for Improvement From the Perspectives of LGBTQ+ Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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  14. "My family won't let me." Adolescent-reported barriers to accessing mental health care.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025
    Article
  15. Review
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  18. Social Media as a Behavioral Activation Tool, Conferring Possible Protection Against Suicidal Thoughts Among Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
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 at 3 institutions in 1 country.

Vanesa A Mora RingleCounseling Psychology Program, Department of Education and Human Services, Lehigh University, Bethlehem, Pennsylvania. Electronic address: vmoraringle@lehigh.edu.
Jenna Y SungDepartment of Psychology, Stony Brook University, Stony Brook, New York.
Chantelle A RoulstonDepartment of Medical Social Sciences, Northwestern University, Chicago, Illinois.
Jessica L SchleiderDepartment of Medical Social Sciences, Northwestern University, Chicago, Illinois.
Northwestern University · USLehigh University · USStony Brook University · US

Funding

Technology Enabled Services for Coordinated Care of Depression in Healthcare SettingsP50MH119029 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Rachel Kornfield · 2020 to 2026
$10.7M
Testing Scalable, Single-Session Interventions for Adolescent Depression in the context of COVID-19DP5OD028123 · OD · STATE UNIVERSITY NEW YORK STONY BROOK · PI SCHLEIDER, JESSICA LEE · 2019 to 2023
$2.8M
Developing the Unified Protocol-Single Session Experience Platform for Adolescent Mental HealthR43MH128075 · NIMH · 3-C INSTITUTE FOR SOCIAL DEVELOPMENT · PI DEROSIER, MELISSA E., EHRENREICH-MAY, JILL · 2021 to 2021
$259k
NIH HHS DP5 OD028123NIMH NIH HHS P50 MH119029NIMH NIH HHS R43 MH128075
6 · The paper itself

Abstract

purposeMany adolescents struggle to access the mental healthcare they need. To increase access to mental health services, we must have a clear understanding of the barriers adolescents face from their own perspectives. This online mixed-methods study aimed to enhance understanding of access barriers by centering the perspectives of diverse adolescents who had recently tried and failed to access mental health support.

methodsIn this convergent parallel mixed-methods study, adolescents responded to a preintervention, open-ended question about barriers they have faced to accessing mental health services when they needed them and shared information about their background and depressive symptoms. Barriers were assessed using inductive, conventional content analysis. Quantitative analyses examined barrier differences across sociodemographic groups.

resultsAll adolescents (aged 11-17 years, 50% racially minoritized youth, 15% gender diverse youth, 64% LGBTQ + youth; 78% with clinically elevated depressive symptoms) reported at least one barrier to accessing mental health support, and 20% reported multiple barriers. Content analysis revealed 13 barrier categories, with parent-related barriers (three different categories) accounting for 32% of all barriers. The most common barrier categories related to personal and financial constraints. Asian adolescents, adolescents who were aged 17 years or more, and adolescents who reported uncertainty of their gender identity endorsed the numerically highest mean number of barriers to accessing mental health support. DISCUSSION: High-symptom adolescents reported myriad barriers to accessing mental health support, with 32% of all barriers related to parents.

Indexed as

Health Services AccessibilityMental Health ServicesAdolescentFemaleGender IdentityHumansMaleMental HealthQualitative ResearchHealthcare accessMental healthcareMixed methods

Identifiers

PMID37804301
PMCPMC10842491
OpenAlexW4387432727

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.