scholarly journals Exploring the Processes Involved in Seeking Help from a General Practitioner for Young People Who Have Been at Risk of Suicide

2021 ◽  
Vol 18 (4) ◽  
pp. 2120
Author(s):  
Jack Farr ◽  
Andrew D. R. Surtees ◽  
Hollie Richardson ◽  
Maria Michail
Keyword(s):  
Young People ◽  
Help Seeking ◽  
Suicide Risk ◽  
Young Person ◽  
Support Networks ◽  
Informal Support ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Seeking Help ◽  
Gp Training

General practitioners (GPs) play a key role in the early identification and management of suicide risk in young people. However, little is known about the processes involved in how, when and why a young person decides to seek help from their GP. Eight young people, aged 17–23, took part in semi-structured interviews exploring their experiences of help seeking when feeling suicidal. Data were analysed using framework analysis. The analysis identified three main themes and seven subthemes. The main themes explored were: understanding when to seek help from a GP, barriers and facilitating factors at the GP consultation, and help seeking as a non-linear and dynamic process. The processes involved in how, when and why young people seek help from a GP when feeling suicidal were found to be dynamic and to fluctuate over time. Help seeking was initially related to how young people were able to understand and articulate their distress, the availability of informal support networks, and their perception of the GP as a source of help. During a GP consultation, help seeking was influenced by how safe and supported the young people felt. Perceived GP training, communication and validation of young people’s concerns were important factors to help facilitate this process. Subsequent help seeking was influenced by prior experience of GP consultations and the availability of alternative support.

scholarly journals I'll Get by with a Little Help from my Friends: Young People's Help-Seeking for Depression

2021 ◽  
Author(s):  
◽  
Phillipa Mary Peacocke
Keyword(s):  
Depressive Symptoms ◽  
Young People ◽  
Help Seeking ◽  
Structured Interviews ◽  
Young Females ◽  
Multi Stage ◽  
Medical Person ◽  
Seeking Help ◽  
The Impact ◽  
Different Sources

<p>The present research involved two studies examining the impact of severity on the process of help-seeking for depression. The first study included a survey of 316 New Zealand Adolescents (14-18 years) help-seeking, their inclination to seek help from a friend, parent, medical person and mental health professional for each scenario, and barriers to seeking help from these sources. Young females were more likely to identify depressive symptoms as a problem, and reported higher help-seeking, as well as lower barriers to seeking help. Age and ethnicity impacted on the process of seeking help, and inclination to seek help from different sources, supporting a complex multi-stage process, which both individual and contextual variables impact on the different stages. Correspondence Analysis was conducted on participant barriers to seeking help, which revealed that the severity of symptoms and source of help were reflected in participants' selection of barriers. It was suggested that young people perceive formal sources of help as more appropriate for severe symptoms of depression than informal sources such as friends and family. To examine this further, twenty-two semi-structured interviews were conducted with similar aged young people in the second study. Through thematic analysis, two overarching themes were identified. The expected response from a helper, and their relationship with a helper, were found to influence seeking help from different sources. The severity of depressive symptoms was found to overlap with these themes, to influence the perceived appropriateness of different helpers. This research contributes to understanding the reasons young people prefer informal sources of help. That is, they are more trusted, the response is more predictable, and help is considered more relevant from informal sources, particularly friends. The importance of utilising and strengthening already established help-seeking pathways of friends and family is encouraged to improve help-seeking from professionals.</p>

scholarly journals I'll Get by with a Little Help from my Friends: Young People's Help-Seeking for Depression

2021 ◽  
Author(s):  
◽  
Phillipa Mary Peacocke
Keyword(s):  
Depressive Symptoms ◽  
Young People ◽  
Help Seeking ◽  
Structured Interviews ◽  
Young Females ◽  
Multi Stage ◽  
Medical Person ◽  
Seeking Help ◽  
The Impact ◽  
Different Sources

<p>The present research involved two studies examining the impact of severity on the process of help-seeking for depression. The first study included a survey of 316 New Zealand Adolescents (14-18 years) help-seeking, their inclination to seek help from a friend, parent, medical person and mental health professional for each scenario, and barriers to seeking help from these sources. Young females were more likely to identify depressive symptoms as a problem, and reported higher help-seeking, as well as lower barriers to seeking help. Age and ethnicity impacted on the process of seeking help, and inclination to seek help from different sources, supporting a complex multi-stage process, which both individual and contextual variables impact on the different stages. Correspondence Analysis was conducted on participant barriers to seeking help, which revealed that the severity of symptoms and source of help were reflected in participants' selection of barriers. It was suggested that young people perceive formal sources of help as more appropriate for severe symptoms of depression than informal sources such as friends and family. To examine this further, twenty-two semi-structured interviews were conducted with similar aged young people in the second study. Through thematic analysis, two overarching themes were identified. The expected response from a helper, and their relationship with a helper, were found to influence seeking help from different sources. The severity of depressive symptoms was found to overlap with these themes, to influence the perceived appropriateness of different helpers. This research contributes to understanding the reasons young people prefer informal sources of help. That is, they are more trusted, the response is more predictable, and help is considered more relevant from informal sources, particularly friends. The importance of utilising and strengthening already established help-seeking pathways of friends and family is encouraged to improve help-seeking from professionals.</p>

scholarly journals The psychosocial response to a terrorist attack at Manchester Arena, 2017: a process evaluation

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Daniel Hind ◽  
Kate Allsopp ◽  
Prathiba Chitsabesan ◽  
Paul French
Keyword(s):  
Young People ◽  
Process Evaluation ◽  
Terrorist Attack ◽  
Health Sector ◽  
Routine Data ◽  
Recovery Phase ◽  
Normalisation Process Theory ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Response Phase

Abstract Background A 2017 terrorist attack in Manchester, UK, affected large numbers of adults and young people. During the response phase (first seven weeks), a multi-sector collaborative co-ordinated a decentralised response. In the subsequent recovery phase they implemented a centralised assertive outreach programme, ‘The Resilience Hub’, to screen and refer those affected. We present a process evaluation conducted after 1 year. Methods Case study, involving a logic modelling approach, aggregate routine data, and semi-structured interviews topic guides based on the Inter-Agency Collaboration Framework and May’s Normalisation Process Theory. Leaders from health, education and voluntary sectors (n = 21) and frontline Resilience Hub workers (n = 6) were sampled for maximum variation or theoretically, then consented and interviewed. Framework analysis of transcripts was undertaken by two researchers. Results Devolved government, a collaborative culture, and existing clinical networks meant that, in the response phase, a collaboration was quickly established between health and education. All but one leader evaluated the response positively, although they were not involved in pre-disaster statutory planning. However, despite overwhelming positive feedback there were clear difficulties. (1) Some voluntary sector colleagues felt that it took some time for them to be involved. (2) Other VCSE organisations were accused of inappropriate, harmful use of early intervention. (3) The health sector were accused of overlooking those below the threshold for clinical treatment. (4) There was a perception that there were barriers to information sharing across organisations, which was particularly evident in relation to attempts to outreach to first responders and other professionals who may have been affected by the incident. (5) Hub workers encountered barriers to referring people who live outside of Greater Manchester. After 1 year of the recovery phase, 877 children and young people and 2375 adults had completed screening via the Resilience Hub, 79% of whom lived outside Greater Manchester. Conclusions The psychosocial response to terrorist attacks and other contingencies should be planned and practiced before the event, including reviews of communications, protocols, data sharing procedures and workforce capacity. Further research is needed to understand how the health and voluntary sectors can best collaborate in the wake of future incidents.

scholarly journals The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Albert Farre ◽  
Sara Ryan ◽  
Abigail McNiven ◽  
Janet E. McDonagh
Keyword(s):  
Young People ◽  
Secondary Analysis ◽  
Young Person ◽  
Full Potential ◽  
Work Experiences ◽  
Health Providers ◽  
Structured Interviews ◽  
Self Advocacy ◽  
School Work ◽  
The Impact

Abstract Introduction Young people’s transition into adulthood is intertwined with the worlds of education and work. Poor health in adolescence has been associated with poorer education and employment outcomes in adulthood. This paper explores the impact of arthritis on the educational and early work experiences of young people with arthritis. Methods We undertook a supplementary secondary analysis of a qualitative dataset comprising narrative and semi-structured interviews of 39 young people who had been diagnosed with arthritis in childhood, adolescence or young adulthood. Results Our findings illustrate how young people living with arthritis are faced with a range of added disruptions and challenges in their educational/vocational lives. There is an important element of resilience associated with the process of making a career choice and acting upon personal aspirations. Appropriate support and flexibility in the workplace/educational setting can enable successful outcomes, but disclosure is not a straightforward process for young people living with arthritis. Conclusions It is paramount that health providers consistently and effectively address self-advocacy skills with the young person, particularly during educational and vocational transitions. Alongside this, there is the need to further strengthen the health-school/work interface to ensure that young people living with chronic illness can meet their full potential in adulthood.

scholarly journals “Why not ask the doctor?” Barriers in help-seeking for sexual problems among older adults in Poland

2020 ◽  
Vol 65 (8) ◽  
pp. 1507-1515
Author(s):  
Gabriela Gore-Gorszewska
Keyword(s):  
Older Adults ◽  
Sexual Functioning ◽  
Help Seeking ◽  
Qualitative Methodology ◽  
Sexual Problems ◽  
Psychological Help ◽  
Main Concern ◽  
Health Providers ◽  
Structured Interviews ◽  
Seeking Help

Abstract Objectives Existing data show that older adults rarely seek medical or psychological help for their sexual problems. The current study explores the barriers in help-seeking faced by older adults from a conservative Central European country. Methods Thirty semi-structured interviews were conducted among Polish residents (16 women, 14 men) aged 65–82. The data were analysed thematically, with coding validity and analytical rigour ensured throughout the process. Results Three main barriers in seeking help were identified: not recognising sexual problems; fear for the doctors’ disapproval; lack of knowledge how to access appropriate services. The data reveal that the participants’ main concern is that health providers would dismiss their problems as trivial. Older adults from Poland suffer from the lack of fundamental knowledge about their sexual functioning. Conclusions Employing qualitative methodology to understand why older adults from conservative cultures do not seek help for their sexual problems might contribute to existing literature by providing evidence from different cultural settings, and help to develop and implement appropriate interventions. Implications related to health providers’ attitude towards older patients’ concerns are further discussed.

scholarly journals Layers of listening: Qualitative analysis of the impact of early intervention services for first-episode psychosis on carers' experiences

2015 ◽  
Vol 207 (2) ◽  
pp. 135-142 ◽  
Author(s):  
Anna Lavis ◽  
Helen Lester ◽  
Linda Everard ◽  
Nicholas Freemantle ◽  
Tim Amos ◽  
...  
Keyword(s):  
Early Intervention ◽  
Young People ◽  
Help Seeking ◽  
Young Person ◽  
First Episode Psychosis ◽  
First Episode ◽  
Early Intervention Services ◽  
Episode Psychosis ◽  
Intervention Services ◽  
The Impact

BackgroundEarly intervention services (EIS) comprise low-stigma, youth-friendly mental health teams for young people undergoing first-episode psychosis (FEP). Engaging with the family of the young person is central to EIS policy and practice.AimsBy analysing carers' accounts of their daily lives and affective challenges during a relative's FEP against the background of wider research into EIS, this paper explores relationships between carers' experiences and EIS.MethodSemi-structured longitudinal interviews with 80 carers of young people with FEP treated through English EIS.ResultsOur data suggest that EIS successfully aid carers to support their relatives, particularly through the provision of knowledge about psychosis and medications. However, paradoxical ramifications of these user-focused engagements also emerge; they risk leaving carers' emotions unacknowledged and compounding an existing lack of help-seeking.ConclusionsBy focusing on EIS's engagements with carers, this paper draws attention to an urgent broader question: as a continuing emphasis on care outside the clinic space places family members at the heart of the care of those with severe mental illness, we ask: who can, and should, support carers, and in what ways?

Young people’s help-seeking behaviours: dealing with their own versus a friend’s symptoms of poor mental health

2020 ◽  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Help Seeking ◽  
Poor Mental Health ◽  
Seeking Help

The majority of young people dealing with symptoms of poor mental health experience difficulties seeking help, adolescents are more likely to talk to their friends when experiencing symptoms of poor mental health

Help-Seeking Behaviors of Male Survivors of Intimate Partner Violence in Kenya

2021 ◽  
pp. 0192513X2110428
Author(s):  
Eric Y. Tenkorang ◽  
Mariama Zaami ◽  
Sitawa Kimuna ◽  
Adobea Y. Owusu ◽  
Emmanuel Rohn
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Help Seeking ◽  
Physical Violence ◽  
Intimate Partner ◽  
Support Networks ◽  
Sub Saharan Africa ◽  
Help Seeking Behaviors ◽  
Male Survivors ◽  
Seeking Help

Very few studies examine the help-seeking behaviors of male survivors of intimate partner violence (IPV) in Kenya or sub-Saharan Africa more generally. Using nationally representative cross-sectional data from 1,458 male survivors and multinomial logit models, we examined what influences men’s decision to seek help after experiencing IPV. Results show the majority of male survivors did not seek help. Those who did so turned to informal rather than formal sources. The severity of physical violence was the most robust and consistent predictor of help-seeking. Male survivors of severe physical abuse had higher odds of seeking help from informal support networks than not seeking help. Compared to the uneducated, highly educated men were significantly more likely to seek help from formal support networks than to not seek help at all. Sensitization programs are required to educate male survivors of IPV on available sources of support. In particular, barriers to help-seeking must be removed to encourage male survivors to find support.

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