Evidence map›Paper›PMID 39190155›Full record

ArticleEuropean child & adolescent psychiatry2025

An examination of sociodemographic and clinical factors influencing help-seeking attitudes and behaviors among adolescents with mental health problems.

Marialuisa Cavelti, Noemi Anne Ruppen, Silvano Sele, Markus Moessner, Stephanie Bauer, Katja Becker, Jennifer Krämer, Heike Eschenbeck, Christine Rummel-Kluge, Rainer Thomasius and 6 more

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
  5. 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

16 authors.

Marialuisa CaveltiUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstrasse 111, 3000, Bern 60, Switzerland.ORCID http://orcid.org/0000-0003-4726-396X
Noemi Anne RuppenUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstrasse 111, 3000, Bern 60, Switzerland.ORCID http://orcid.org/0009-0004-4604-9974
Silvano SeleUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstrasse 111, 3000, Bern 60, Switzerland.ORCID http://orcid.org/0000-0003-0767-2515
Markus MoessnerCentre for Psychotherapy Research, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-1215-1055
Stephanie BauerCentre for Psychotherapy Research, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7508-6521
Katja BeckerDepartment for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine, University of Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0003-4858-5127
Jennifer KrämerDepartment for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine, University of Marburg, Marburg, Germany.
Heike EschenbeckDepartment of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany.ORCID http://orcid.org/0000-0002-3786-5476
Christine Rummel-KlugeDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0003-4857-8170
Rainer ThomasiusGerman Center for Addiction Research in Childhood and Adolescence, University Hospital Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0002-2819-069X
Silke DiestelkampGerman Center for Addiction Research in Childhood and Adolescence, University Hospital Hamburg-Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0002-6349-8059
Vera GilléDepartment of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany.ORCID http://orcid.org/0000-0002-7787-2021
Sabrina BaldofskiDepartment of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0003-3175-7914
Julian KoenigDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-1009-9625
ProHEAD-Consortium
Michael KaessUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bolligenstrasse 111, 3000, Bern 60, Switzerland. michael.kaess@upd.ch.ORCID http://orcid.org/0000-0003-0031-7764

Funding

German Federal Ministry of Education and Research (BMBF) 01GL1744BSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung PZ00P1_193279/1
6 · The paper itself

Abstract

This study investigated sociodemographic and clinical factors influencing help-seeking attitudes and behavior among adolescents with mental health problems. As part of the ProHEAD ("Promoting Help-seeking using E-technology for ADolescents") consortium a school-based, online assessment of sociodemographic information, psychopathology, risk-taking and self-harming behavior, help-seeking attitudes and behavior, and barriers to help-seeking was conducted in adolescents aged ≥ 12 years recruited from randomly selected schools in five regions of Germany. Linear regression analyses with the LMG formula were performed to explore predictors of help-seeking attitudes and behavior and assess their relative importance. Nine thousand five hundred and nine participants (95.5%) completed the online assessment (mean age: 15.1 years, 58.6% female). In total, 1606 participants (16.9%) showed relevant mental health problems (e.g., depressive and eating disorder symptoms, alcohol problems, and thoughts of self-harming behavior). Among them, 895 (55.7%) reported having sought help (lifetime), with higher rates for informal (n = 842, 52.4%) compared to professional (n = 380, 23.7%) sources. High help-seeking propensity emerged as the most important factor contributing to professional help-seeking, followed by elevated levels of psychopathology and perceived barriers, with sociodemographic factors being less impactful. Psychopathological severity also outweighed sociodemographic factors in predicting negative help-seeking attitudes. These findings indicate that attitudes towards seeking professional help, perceived barriers, and psychopathology severity critically influence limited adolescent help-seeking behavior. This emphasizes the need for initiatives that promote help-seeking, reduce negative attitudes, and address structural barriers in adolescent mental health care.

Indexed as

Adolescent BehaviorHelp-Seeking BehaviorMental DisordersPatient Acceptance of Health CareAdolescentChildFemaleGermanyHumansMaleAdolescentsHelp-seekingMental health problemsPredictors

Identifiers

PMID39190155
PMCPMC12000217

What OpenQuestion holds

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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.