Stigma and Help Seeking for Mental Health Among College Students

Eisenberg, Daniel; Downs, Marilyn F.; Golberstein, Ezra; Zivin, Kara

doi:10.1177/1077558709335173

Cited by 892 publications

(745 citation statements)

References 46 publications

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“…However, previous operationalizations of public stigma ask individual respondents to report on perceived stigma from a generic "most people" originally used in Bruce Link's (1987;Link, Mirotznik, and Cullen 1991) Devaluation-Discrimination scale, with few exceptions (Moses 2010; also see Eisenberg et al 2009 for discussion of this issue). These inconsistencies regarding the level of analysis at which public stigma truly takes place perhaps explain the mixed findings on whether public stigma has a positive, negative, or no association with severity of symptoms, disclosure, self-esteem, and treatment (Corrigan et al 2016;Eisenberg et al 2009;Gollust 2008, 2009;Hunter et al 2017;Sirey et al 2001). …”

Section: Introductionmentioning

confidence: 99%

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Gaddis

Ramirez

Hernandez

2018

Social Science & Medicine

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Scholars suggest that public mental health stigma operates at a meso-level and is associated with severity of symptoms, disclosure, self-esteem, and treatment-seeking behavior. However, the operationalization of public stigma nearly always comes from an individual-level generalization of what others believe. Using data from over 60,000 students on 75 U.S. college and university campuses between 2009-2015, we contextualize public stigma by creating a school-level measure of students' individual-level endorsed mental health treatment stigma. We present multilevel logistic regression models for 21 different dependent variables. We find that even after controlling for individual-level stigma scores, school-level stigma is negatively associated with self-reports of suicidal ideation and self-injury, although not associated with screens for depression or anxiety. Moreover, school-level stigma is negatively associated with medication use, counseling and therapy visits, and to a lesser degree, informal support. We suggest that future research should continue to examine the contextual environment of public stigma, while policymakers may be able to implement changes to significantly reduce stigma at this level.

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Section: Introductionmentioning

confidence: 99%

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Gaddis

Ramirez

Hernandez

2018

Social Science & Medicine

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“…While 30% of college students report feeling so depressed in the past year that it was difficult to function, only 10% of college students repot seeking any type of mental health care in the past year [19,20]. Concerns about the stigma related to mental illness are also associated with less perceived need for help and decreased treatment seeking behavior [21]. Recent media stories highlight tragic suicides of young adults that were referenced on Facebook prior to being carried out; illustrating the urgent need to better understand the validity of displayed references to depression and other mental health concerns [22].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Displayed Depression Symptoms on Social Media Sites

Moreno¹,

Kelleher²,

Pumper³

2013

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Social networking sites (SNSs) are immensely popular and allow for display of personal information, including references to depression. Evaluating displayed content on a SNS for research purposes requires a systematic approach and a precise data collection instrument. The purpose of this paper is to describe one approach to the development of a research codebook for depression so that others may develop and test their own codebooks for use in SNS research. The depression SNS research codebook was grounded in ethics, theory and clinical criteria. The key elements in the codebook developmental process included an iterative team approach to develop variables of interest and data collection sheet layout. Training protocols involve coding practice and reliability assessments. Interrater reliability remains a critical assessment tool. Codebook successes include consistently high interrater reliability. Challenges include time investment in coder training, SNS server changes, and social or cultural norms regarding public displays of mental health. We provide detailed information about a systematic approach to codebook development so that other researchers may use this structure to develop and test their own codebooks for use in SNS research. Future directions for the codebook include expanding areas of interest such as anxiety or other depression evaluation criteria, and expansion to other SNSs such as Twitter.

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“…They may also be reluctant to talk about their mental health problems with their managers and colleagues. Stigmatization of people with mental illnesses has an effect on helpseeking behaviors 12) . It is also important to create a working environment easy to talk about mental health problems by elimination of workplace stigma 13) and protection of privacy 14) .…”

Section: Discussionmentioning

confidence: 99%

Difficulties in Receiving a Medical Consultation among Japanese Workers with Mental Health Problems

Okubo

Yokoyama

Suzuki

et al. 2012

Journal of Occupational Health

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Difficulties in Receiving a Medical Consultation among Japanese Workers with Mental Health Problems: Suguru OKUBO, et al. Department of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo— Objectives The aim of this study was to elucidate the factors affecting the difficulties in receiving a medical consultation among workers with mental health problems. Methods The present study was performed using a cross‐sectional survey. We requested occupational physicians and nurses who were members of the Japan Society for Occupational Health to distribute self‐administered questionnaires to their clients. Results Ninety‐nine workers (68 males and 30 females), aged 40.6 ± 9.1 yr, returned completed questionnaires; 65% of the respondents had been diagnosed with depression. The most common difficulty perceived by them was that there were no intra‐office counselors. Multiple regression analysis revealed that the number of months between the onset of mental health problems and the first medical consultation was significantly associated with age and having no sick leave allowance. Conclusions The implementation and enhancement of sick leave allowance may promote early intervention in regard to workplace mental health problems. Mental health education and regular checkups for older workers is also critical for early detection and intervention of mental health problems.

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Stigma and Help Seeking for Mental Health Among College Students

Cited by 892 publications

References 46 publications

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Contextualizing public stigma: Endorsed mental health treatment stigma on college and university campuses

Evaluating Displayed Depression Symptoms on Social Media Sites

Difficulties in Receiving a Medical Consultation among Japanese Workers with Mental Health Problems

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