Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (4): 99-106.doi: 10.6040/j.issn.1671-7554.0.2021.0223

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Help-seeking willingness, help-seeking behaviors and influencing factors in middle school students with suicidal ideation

SHEN Yufei, ZHAO Mei, HU Mi   

  1. Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha 410008, Hunan, China
  • Published:2022-04-22

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Abstract: Objective To explore the prevalence and influencing factors of help-seeking willingness and help-seeking behaviors in middle school students with suicidal ideation in the past year, so as to lay a foundation for suicide prevention among middle school students. Methods A total of 3 669 students from 4 middle schools in Changsha were collected with stratified multi-stage cluster random sampling. The help-seeking willingness and help-seeking behaviors of students with suicidal ideation in the past year were surveyed with a self-compiled questionnaire. The general demographic data were described with composition ratio; the differences in influencing factors were inferred with χ2 test; the influencing factors of help-seeking willingness and help-seeking behaviors were determined with binary Logistic regression. Results The prevalence of suicidal ideation among middle school students in Changsha in the past year was 9.08%. The prevalence of help-seeking willingness among students with suicidal ideation was 80.70%, respectively. Most students were willing to ask for help from their good friends. Gender, social support provided by the family, social support provided by the school, and depression symptoms were influencing factors of help-seeking willingness. The prevalence of help-seeking behaviors was 77.22%. For students who had asked for help, good friends were the most popular target. Grade, social support provided by the family, social support provided by the school, and the educational background of the parents were influencing factors of help-seeking behavior. Conclusion The prevalence of help-seeking willingness in middle school students with suicidal ideation is high, while the prevalence of help-seeking behaviors is lower than that of help-seeking willingness. Good friends are the most important targets for help. The help-seeking willingness is related to gender, social support status, and depression symptoms, and the occurrence of help-seeking behaviors is related to grade, social support status, and parental educational background.

Key words: Middle school students, Suicidal ideation, Help-seeking behaviors, Help-seeking willingness, Suicide prevention, Changsha City

CLC Number: 

  • R179
[1] 徐荣彬, 温勃, 宋逸, 等. 1990-2016年中国青少年死亡率及主要死因变化[J]. 中华预防医学杂志, 2018, 52(8): 802-808. XU Rongbin, WEN Bo, SONG Yi, et al. The change in mortality and major causes of death among Chinese adolescents from 1990 to 2016 [J]. Chinese Journal of Preventive Medicine, 2018, 52(8): 802-808.
[2] Wasserman D, Hoven C, Wasserman C, et al. School-based suicide prevention programmes: the SEYLE cluster-randomized, controlled trial [J]. Lancet, 2015, 385(9977): 1536-1544.
[3] Sun L, Zhang J. Factors associated with help-seeking behavior among medically serious attempters aged 15-54 years in rural China [J]. Psychiatry Res, 2019, 274: 36-41. doi:10.1016/j.psychres.2019.02.024.
[4] Bifftu B, Takele W, Guracho Y, et al. Depression and its help seeking behaviors: a systematic review and meta-analysis of community survey in ethiopia [J]. Depress Res Treat, 2018, 2018: 1592596. doi: 10.1155/2018/1592596.
[5] 罗敏. 中学生心理求助行为的影响因素分析[J]. 中小学心理健康教育, 2019, 34: 62-65.
[6] 徐伏莲, 钟明洁, 陈海泉, 等. 江门市中学生抑郁症状与心理求助现况[J]. 中国学校卫生, 2014, 35(10): 1500-1502. XU Fulian, ZHONG Mingjie, CHEN Haiquan, et al. Depressive symptoms and seeking psychological help among middle school students in Jiangmen [J]. Chinese Journal of School Health, 2014, 35(10): 1500-1502.
[7] 申俊贤, 王煜. 2009~2018年中国大陆中学生自杀意念者自杀尝试发生率的Meta分析[J]. 现代预防医学, 2020, 47(12): 2206-2210. SHEN Junxian, WANG Yu. Suicide attempts in Chinese mainland middle school students with suicidal ideation: a meta-analysis between 2009 and 2018 [J]. Modern Preventive Medicine, 2020, 47(12): 2206-2210.
[8] Kaskeala L, Sillanmaki L, Sourander A. Help-seeking behavior among Finnish adolescent males [J]. Nord J Psychiatry, 2015, 69(8): 605-612.
[9] Rowe S, French R, Henderson C, et al. Help-seeking behavior and adolescent self-harm: a systematic review [J]. Aust N Z J Psychiatry, 2014, 48(12): 1083-1095.
[10] Eigenhuis E, Waumans R, Muntingh A, et al. Facilitating factors and barriers in help-seeking behaviour in adolescents and young adults with depressive symptoms: a qualitative study [J]. PLoS One, 2021, 16(3): e0247516.
[11] Yablon YB. Students' willingness to seek help from school staff when coping with parental maltreatment [J]. Child Abuse Negl, 2020, 103: 104443.
[12] Stewart G, Kamata A, Miles R, et al. Predicting mental health help seeking orientations among diverse Undergraduates: an ordinal logistic regression analysis [J]. J Affect Disord, 2019, 257: 271-280.
[13] Sagar OI, Godfrey E, Graham S, et al. Improving mental health help-seeking behaviours for male students: a framework for developing a complex intervention [J]. Int J Environ Res Public Health, 2020, 17(14): 4965.
[14] Ross V, Caton N, Gullestrup J, et al. Understanding the barriers and pathways to male Help-seeking and help-offering: a mixed methods study of the impact of the mates in construction program [J]. Int J Environ Res Public Health, 2019, 16(16): 2979.
[15] Sawyer M, Borojevic N, Ettridge K, et al. Do help-seeking intentions during early adolescence vary for adolescents experiencing different levels of depressive symptoms [J]. J Adolesc Health, 2012, 50(3): 236-242.
[16] Calear A, Batterham P, Torok M, et al. Help-seeking attitudes and intentions for generalized anxiety disorder in adolescents: the role of anxiety literacy and stigma [J]. Eur Child Adolesc Psychiatry, 2021, 30(2): 243-251.
[17] Doblyte S, Jiménez ME. Understanding help-seeking behavior in depression: a qualitative synthesis of patients experiences [J]. Qual Health Res, 2017, 27(1): 100-113.
[18] Toren SJ, Grieken A, Lugtenberg M, et al. Adolescents views on seeking help for emotional and behavioral problems: a focus group study [J]. Int J Environ Res Public Health, 2019, 17(1): 191.
[19] Aguirre VA, Cruz ISS, Billings J, et al. What are the barriers, facilitators and interventions targeting help-seeking behaviors for common mental health problems in adolescents? A systematic review [J]. BMC Psychiatry, 2020, 20(1): 293.
[20] Maiuolo M, Deane FP, Ciarrochi J. Parental authoritativeness, social support and help-seeking for mental health problems in adolescents [J]. J Youth Adolesc, 2019, 48(6): 1056-1067.
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