Evidence map›Paper›PMID 41440163›Full record

ArticleEuropean journal of investigation in health, psychology and education2025

Help Is Just a Message Away: Online Counselling Chat Services Bridging Gaps in Youth Mental Health?

Alexis Dewaele, Elke Denayer, Maria Cabello, Irati Higuera-Lozano, Tuuli Pitkänen, Katalin Felvinczi, Zsuzsa Kaló, Siiri Soininvaara, Lien Goossens

Abstract read
In one paragraph

Article in European journal of investigation in health, psychology and education, 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

9 authors.

Alexis DewaeleDepartment of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, 9000 Gent, Belgium.ORCID 0000-0002-0688-9109
Elke DenayerDepartment of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, 9000 Gent, Belgium.ORCID 0009-0002-8266-6713
Maria CabelloDepartment of Psychiatry, Universidad Autónoma de Madrid, 28029 Madrid, Spain.ORCID 0000-0003-2362-6092
Irati Higuera-LozanoDepartment of Psychiatry, Universidad Autónoma de Madrid, 28029 Madrid, Spain.ORCID 0009-0005-1221-3999
Tuuli PitkänenFinnish Youth Research Society, 00520 Helsinki, Finland.ORCID 0000-0002-2381-9436
Katalin FelvincziInstitute of Psychology, ELTE Eötvös Lóránd University, 1064 Budapest, Hungary.ORCID 0000-0003-1813-7227
Zsuzsa KalóInstitute of Psychology, ELTE Eötvös Lóránd University, 1064 Budapest, Hungary.ORCID 0000-0003-2043-882X
Siiri SoininvaaraFinnish Youth Research Society, 00520 Helsinki, Finland.ORCID 0009-0008-4294-4890
Lien GoossensDepartment of Developmental, Personality and Social Psychology, Faculty of Psychology and Educational Sciences, Ghent University, 9000 Gent, Belgium.ORCID 0000-0002-5518-2855

Funding

Erasmus+ 2023-1-FI01-KA220-YOU-000153237Finnish Youth Research Society 352603Research Assistant and Laboratory Technicians Call of the Community of Madrid EJ-2023-AI/SAL-GL-28210Strategic Research Council Finland 352600
6 · The paper itself

Abstract

Adolescents and young adults across Europe face growing mental health challenges, yet many do not seek professional help. Online counselling chat services (OCCS) offer anonymous, accessible, and youth-friendly support, but their varied aims, formats, and resources complicate evaluation and integration into formal care systems. This study aimed to identify shared priorities for the development, evaluation, and implementation of OCCS for youth. Eight focus groups were conducted with 38 stakeholders-including researchers, counsellors, and service coordinators-from eight European countries. Through qualitative content analysis, six key thematic domains emerged: usability and engagement, service quality and effectiveness, infrastructure and integration, sustainability, ethical considerations, and future visions. Participants highlighted OCCS as valuable tools for fostering emotional safety, trust, and accessibility, while also noting persistent challenges such as limited funding, fragile infrastructure, and ethical tensions around anonymity and safeguarding. Crucially, the need for flexible evaluation frameworks that reflect service diversity and for stronger cross-model collaboration was emphasized. These findings provide a strategic foundation for advancing inclusive, sustainable, and youth-centered digital mental health support across Europe.

Indexed as

digital supportonline counselling chat services (OCCS)service evaluationstakeholder perspectivesyouth mental health

Identifiers

PMID41440163
PMCPMC12731582

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.