ArticleBMC psychiatry2026
Challenges and solutions of building trust in mental health services: hearing the voices of Iranian medical students through community participation.
Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
BACKGROUND AND
objectivesDespite the prevalence of mental disorders, the treatment rate remains low due to various barriers, including trust issues. Trust impacts the patient-provider relationship and the utilization of mental health services. This study aims to identify challenges to trust in mental healthcare services for students at a medical sciences university and identify solutions to enhance trust through active community involvement in research.
methodsUsing a Community-Based Participatory approach and content analysis, we engaged 25 stakeholders, including students, mental health providers, and parents at Tehran University of Medical Sciences. They engaged in a steering committee, semi-structured interviews, and one focus group. Nineteen interviews and one focus group were analyzed using MAXQDA 20 software.
resultsTrust challenges were related to four categories: conceptual and societal frames of mental disorder, contextual and informational determinants, dynamics in therapeutic encounters, and structural and environmental determinants. These categories included 14 subcategories related to confidentiality, professionalism, ethics, patient contribution, stigma, past negative experiences, lack of mental health literacy, access, and service delivery issues. The most prominent solutions to these challenges include confidentiality maintenance, increasing mental health literacy, reducing stigma, implementing regulatory measures, and promoting professional behavior among healthcare providers.
conclusionTrust in mental healthcare services is complex and shaped by previous experiences, professionalism, mental health literacy, and systemic barriers. This collaborative study provides insights and practical solutions by understanding and addressing the challenges of trust in the university setting.
trial registrationClinical trial number is not applicable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.