ArticleChild and adolescent psychiatry and mental health2025
The role of family environment and parental factors: a person-oriented study of adolescents' psychological distress and help-seeking patterns.
Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Prevalence, determinants, and Help-Seeking behavior for major depressive disorder symptoms in the Lesotho population: A multilevel analysis from the Lesotho demographic and health survey 2023-24.Social psychiatry and psychiatric epidemiology · 2026Article
- Prevalence and risk factors of depression, anxiety, and stress among secondary school students in Abha city, Saudi Arabia.Frontiers in psychiatry · 2026Article
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11 authors.
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Abstract
backgroundAdolescents' mental health is shaped by their coping strategies and the broader family context in which they live. However, few studies have examined psychological distress and help-seeking patterns jointly, especially from a person-oriented perspective. Understanding distinct adolescent risk profiles and how family and parental factors influence them may inform more effective prevention strategies. This study aimed to: (1) identify latent profiles of adolescents based on their psychological distress and help-seeking intentions; and (2) explore how family and parental factors predict profile membership and self-harm risk.
methodsA cross-sectional study was conducted in 2021 with 7,934 Chinese secondary school students and one parent per adolescent. Adolescents completed validated measures of depression, anxiety, and help-seeking intentions; parents reported on family income, family function, mental health symptoms, and mental health stigma. Latent profile analysis and the BCH three-step method were used to identify subgroups and examine predictors and outcomes.
resultsFive profiles were identified: normative, safe, distress, high-risk, and aware. The high-risk profile (5.98%) showed high distress, low help-seeking, and the highest self-harm rate (48.7%). Lower family functioning and higher parental distress predicted higher-risk profiles. Professional help-seeking intentions were associated with reduced self-harm risk among distressed adolescents.
conclusionsFamily and parental factors significantly shape adolescent coping profiles and mental health risks. Findings underscore the value of early screening and family-focused interventions to reduce self-harm.
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