Evidence map›Paper›PMID 40349057›Full record

ArticleBMC health services research2025

Conveying the need for mental healthcare - a qualitative study of how patients communicate mental health challenges.

Marit Nymoen, Marit Synnøve Lomeland, Eva Biringer, Mirjam Ekstedt, Øystein Hetlevik, Rod Sheaff, Olav Thorsen, Miriam Hartveit

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Marit NymoenDepartment of Research and Innovation, Fonna Hospital Trust, Haugesund, Norway. marit.nymoen@helse-fonna.no.
Marit Synnøve LomelandThe Bipolar Association, Tysvær, Norway.
Eva BiringerDepartment of Research and Innovation, Fonna Hospital Trust, Haugesund, Norway.
Mirjam EkstedtDepartment of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.
Øystein HetlevikDepartment of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen, Bergen, Norway.
Rod SheaffPeninsula Medical School, Faculty of Health, University of Plymouth, Plymouth, UK.
Olav ThorsenThe General Practice and Care Coordination Research Group, Stavanger University Hospital, Stavanger, Norway.
Miriam HartveitDepartment of Research and Innovation, Fonna Hospital Trust, Haugesund, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to timely mental healthcare relies on patients' descriptions of their mental health problems. We therefore sought to better understand, from the patients' perspective, how they communicate their need for specialised mental healthcare to their GPs or mental health specialists and what factors affect communication when patients are referred from their GPs to specialised mental healthcare.

methodsThis was an exploratory interview study. Ten adults who started treatment in specialised mental healthcare facilities were interviewed individually. The interviews were audiotaped and transcribed verbatim. A method based on thematic analysis was used to develop patterns and themes within the dataset using an iterative inductive approach, with checks for internal consistency throughout.

resultsThree typical personal approaches - or styles - of communicating needs could be generated. These approaches varied in how active the patients were in their help-seeking, how unrestrictedly they communicated their health concerns and their receptiveness to input from healthcare professionals. Relevant factors affecting the communication were the characteristics of the healthcare services; the responses of others; fear of rejection and misunderstanding; health literacy and experience with mental healthcare; taking responsibility for one's own treatment; and the mental health problem itself.

conclusionsThe different patient approaches to getting help for mental health problems and how those approaches are affected by individual, contextual and system factors highlight the need for individualised and welcoming communication by care providers. The current study contributes with useful insights from the patient's perspective into how e.g. the patient's previous experiences and understanding of the healthcare system influences the process of seeking help from a GP and being referred to specialist mental health services.

Indexed as

CommunicationHealth Services Needs and DemandMental DisordersMental Health ServicesPhysician-Patient RelationsAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchCommunicationGeneral practitionerReferral and consultationSecondary careSpecialised mental healthcare

Identifiers

PMID40349057
PMCPMC12065277

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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.