Evidence map›Paper›PMID 38819661›Full record

ArticleEuropean child & adolescent psychiatry2024

Unmet need for mental health care among adolescents in Asia and Europe.

Yuko Mori, Andre Sourander, Kaisa Mishina, Tiia Ståhlberg, Anat Brunstein Klomek, Gerasimos Kolaitis, Hitoshi Kaneko, Liping Li, Mai Nguyen Huong, Samir Kumar Praharaj and 3 more

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cyberbullying Victimization and Suicide Attempt Among Adolescents: A Cross-National Comparison.International journal of environmental research and public health · 2025
    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

13 authors.

Yuko MoriDepartment of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, Turku, 20014, Finland.ORCID https://orcid.org/0000-0003-3589-6866
Andre SouranderDepartment of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, Turku, 20014, Finland. andsou@utu.fi.ORCID https://orcid.org/0000-0003-0361-7244
Kaisa MishinaDepartment of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, Turku, 20014, Finland.ORCID https://orcid.org/0000-0003-1489-1433
Tiia StåhlbergDepartment of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, Turku, 20014, Finland.ORCID https://orcid.org/0000-0003-0536-3057
Anat Brunstein KlomekBaruch Ivcher School of Psychology, Reichman University, Herzliya, Israel.ORCID https://orcid.org/0000-0003-2588-0465
Gerasimos KolaitisDepartment of Child Psychiatry, School of Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece.ORCID https://orcid.org/0000-0002-2426-150X
Hitoshi KanekoPsychological Support and Research Center for Human Development, Nagoya University, Nagoya, Japan.ORCID https://orcid.org/0000-0001-7881-6374
Liping LiSchool of Public Health, Shantou University Medical College, Shantou, China.ORCID https://orcid.org/0000-0003-3306-779X
Mai Nguyen HuongDepartment of Psychiatry, Vietnam National Children's Hospital, Hanoi, Vietnam.
Samir Kumar PraharajDepartment of Psychiatry, Kasturba Medical College, Manipal, India.ORCID https://orcid.org/0000-0001-8530-1432
Henriette KyrrestadRegional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.ORCID https://orcid.org/0000-0003-1515-6502
Lotta LempinenDepartment of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, Turku, 20014, Finland.
Emmi HeinonenDepartment of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, Turku, 20014, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The unmet need for mental health care is a global concern. There is a lack of cross-cultural studies examining adolescent help-seeking behavior from both formal and informal sources, including both high-and lower-income countries. This study investigates mental health help-seeking behavior in eight Asian and European countries. Data from 13,184 adolescents aged 13-15 (51% girls) was analysed using mixed-effects logistic regression with school-wise random intercepts to compare countries and genders. Although a significant proportion of adolescents considered getting or sought informal help, formal help-seeking remained exceptionally low, especially in middle-income countries (< 1%), while it ranged from 2 to 7% in high-income countries. Among adolescents with high emotional and behavioral problems (scoring above the 90th percentile on the Strengths and Difficulties Questionnaire), 1-2% of those in middle-income countries and 6-25% of those in high-income countries sought formal help. Girls generally seek more help than boys. The study shows the most adolescents do not receive formal help for mental health problems. The unmet need gap is enormous, especially in lower-income countries. Informal sources of support, including relatives, peers, and teachers, play a crucial role, especially in lower-income countries.

Indexed as

Health Services Needs and DemandMental DisordersMental Health ServicesAdolescentAsiaCross-Cultural ComparisonEuropeFemaleHelp-Seeking BehaviorHumansMalePatient Acceptance of Health CareAdolescentCross-culturalHelp-seekingMental healthUnmet need

Identifiers

PMID38819661
PMCPMC11618194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.