Help-seeking behaviors and attitudes of emerging adults: How college students reporting recent suicidal ideation utilize the internet compared to traditional resources

Abstract

Objective: Suicide is the second leading cause of death among emerging adults, yet little is known regarding their online help-seeking. Participants: The National Research Consortium of Counseling Centers in Higher Education's dataset (N=26,292). Methods: Students across the United States were recruited from 73 four-year institutions to participate during the 2010–2011 school year. Results: Observed the effectiveness of online and traditional help-seeking stratified by recent suicidal ideation related to their most distressful period in the past year. Females and younger students endorsed both types of help-seeking, yet those with recent ideation were less likely to disclose any help-seeking. Among those reporting recent ideation, only females reported that traditional supports were more than moderately helpful. Regardless of whether students endorsed ideation, students who were younger, engaged in risky behaviors and identified as females reported that online resources were more than moderately helpful. Conclusions: Online resources could potentially bridge barriers to traditional help-seeking for those reluctant to seek out care, yet traditional resources were reported to be the most effective among this sample.     

Beliefs underlying stress reduction and depression help-seeking among college students: An elicitation study

Objective: This study illustrates how a theory-based approach can identify college students’ beliefs about stress reduction activities and help-seeking for depression. These beliefs are the basis for intervention design. Participants: A sample of 53 undergraduate students at a public university in the Midwest participated in this research during March 2016. Methods: An open-ended belief elicitation survey was administered online. Beliefs were identified through qualitative thematic analyses. Results: Exercise was students’ most preferred stress reduction activity. Beliefs about exercise emphasized physical benefits yet also not having time for exercise. Beliefs about help-seeking for depression emphasized treatment efficacy, support from others, stigma, and time constraints. Conclusions: Whereas beliefs about positive outcomes inform educational and motivational messages, beliefs about time constraints underscore the need to also consider structural factors that can help students find time to attend to their well-being.     

Relationship satisfaction in lesbian couples: Review,methodological critique,and research agenda

ABSTRACT

There has been increased interest in and attention to understanding the characteristics associated with relationship satisfaction among same-sex couples. This review examines the individual, couple, and external factors associated with relationship satisfaction among contemporary lesbian couples, highlighting domains such as internalized homophobia, personality, communication, conflict, sex, stress, and social support. I discuss methodological concerns and future directions to advance research in this area.     

The Development and Validation of the Couple and Relationship Education Attitudes Index: Results from Two Studies

As relationship educators work to reach more participants for their programs, they often face challenges with recruitment and retention. The theory of planned behavior, along with research, posits that attitudes are often predictive of behavior, and that attitudes toward education and help-seeking can be varied by unique contexts. This paper reports on the development and validation of an index that measures attitudes toward couple relationship education (CRE). The two scales within this index (benefits of CRE & CRE is not a good fit) assess how comfortable individuals are with CRE. The results from two studies support the validation of the index and show how CRE attitudes are linked to relational factors and a measure of intentions to attend CRE, using the scales within the index. Implications for researchers and practitioners are discussed.     

Does Self-Identifying as Having a Health Problem Precede Medical Contact? The Case of Infertility

ABSTRACT

Studies of medical help-seeking presume that self-identifying as having a health problem precedes medical contact, but this ordering of the identity-behavior relationship has not been systematically examined. We used longitudinal data from the National Survey of Fertility Barriers (2004 to 2010) on 412 women with infertility to document the temporal relationship between self-identifying as having a fertility problem and making medical contact. The symbolic interactionist perspective suggests that infertility will be perceived as identity disruption and that in response women will align self-identity and medical behavior over time. Cross-tabulation analysis indicated that more women do self-identify as having a fertility problem first (24%) as opposed to making medical contact first (5.5 percent). There was also a tendency toward aligning self-identification and behavior over time. Latent class analyses revealed six patterns: 1) consistently involved, 2) early consulters, 3) consistently uninvolved, 4) consistent perceivers, 5) medical dropouts, and 6) early perceivers. Strong fertility intent and primary infertility, two identity-relevant characteristics, had the strongest associations with latent class membership. The relationship between self-identification and medical help-seeking is thus dynamic and complex.     

Cultural Change and Chinese Immigrants' Distress and Help-Seeking in Hong Kong

Abstract

The study examined, within a stress-coping paradigm, the contribution of acculturation, enculturation, and acculturative stress to distress and help-seeking among Mainland Chinese immigrants in Hong Kong. One hundred and thirty-one female immigrants were recruited from community service centers. Hierarchical regression results showed that general stress and acculturative stress were linked to distress. Social support did not play a buffering role on distress. Whereas length of residence and social support were strongly related to informal helpseeking, acculturation, along with age and social support, were related to professional help-seeking. Given the differential effects of various cultural change variables, the importance of independently assessing their influence on immigrant mental health and help-seeking is warranted.     

Battered Immigrant Mexican Women's Perspectives Regarding Abuse and Help-Seeking

SUMMARY

A qualitative, pilot study employing in-depth ethno-graphic interviews was conducted to examine perceptions and attitudes towards abuse and the help-seeking behaviors of a sample of ten battered immigrant Mexican women. Findings indicated that participants' attitudes about seeking help were influenced more by cultural factors (e.g., gender-role expectations, famialism) than by psycho-social stres-sors (e.g., immigrant status, financial dependency). Children's welfare played a salient role in women's decisions about seeking help, both as a deterrent and a motivating factor. Women's attitudes about their own abuse were more tolerant than their attitudes about hypothetical situations involving others. Changes in women's attitudes about abuse reflected changes only after some type of intervention had taken place. The majority of the women in the sample had misconceptions or were uninformed about shelters. Suggestions for further research and intervention with this population and a model of internal and external determinants of help-seeking behavior are presented.     

Mental health literacy,stigma, and help-seeking behaviors among male college students

Objective: Mental health literacy (MHL) is low in college-aged men potentially resulting in impaired mental wellbeing. This study assessed MHL, psychosocial determinants, and help-seeking behaviors among male university students. Participants: Male undergraduate and graduate students were surveyed in Spring 2017 (n = 1,242) at a large southeastern university in the United States. Methods: Preexisting validated scales for MHL, psychosocial determinants, and help-seeking intention were used in measurement and demographic variables were collected. T-tests and one-way ANOVA were performed to measure differences between groups. Results: Participants showed low scores for all constructs with statistically significant differences between undergraduate and graduate students, as well as between races and major classifications. Undergraduate men had moderate MHL and low intentions to seek professional care. Conclusions: Interventions focusing on increasing mental health knowledge and improving beliefs can improve MHL among male college students. Further, interventions should be tailored for racial groups and major classifications.     

Interactive Technology Impacts on Increasing Cultural Awareness in Education for the Human Services

Summary

Understanding and being sensitive to the needs of persons from another culture is one of the most important abilities for people working in the human service; it is also one of the most difficult abilities to develop in students and in-service professionals. Two videodisc applications on cultural diversity developed at the University of Minnesota Duluth present content related to Southeast Asian refugees and American Indians. Processes used or simulated in these applications include interacting cooperatively with members of the other culture, engaging in problem solving activities, gaining background knowledge on other cultures, comparing and contrasting values, talking directly with people from another culture, and talking with someone who knows both the majority and minority culture. Preliminary research studies indicate that these applications have been well received by human service students at the University of Minnesota, Duluth.     

College students’ peer-helping behaviors and stigma of seeking help: Testing a moderated mediation model

Abstract

Objective: College students are most likely to seek psychological help from their peers. Internalized public stigma (ie, personal stigma) may prevent peer-helpers from aiding others, and such help-negating effects may depend on contextual factors such as race and gender. The current study examined a moderated mediation model in which the relationship between public stigma and peer intervention behaviors was mediated by personal stigma and moderated by race and gender categories. Method: Undergraduate students (N?=?5,183) from the national Healthy Minds Study completed measures of help-seeking stigma and peer-helping behaviors. Results: Conditional Process Modeling revealed that personal stigma fully mediated the link between public stigma and peer-helping behaviors. Gender (but not race) moderated these associations such that the indirect and direct effects were stronger from men than women. Conclusions: Peer-helper interventions may benefit from culture-specific re-norming messages and by addressing the role of gender in peer-helping.     

Correlates of Participation in a Family-Based HIV Prevention Program

Abstract

This study examines the relationship between contextual factors and attendance in a family-based HIV prevention program for low-income, urban, African-American women and their children. Participants' motivations to become involved, their concerns about discussing sex-related issues with their children, recruiters' perceptions of respondents' understanding of the program, and environmental stressors were examined. Participants' level of motivation and recruiters' success in improving respondents' understanding of the program were significant correlates of attendance. Stressors experienced by the family and concerns around talking with children about sex were not significantly associated with participation. Recommendations to enhance involvement in family-based HIV prevention programs are made.     

Obstacles to Help-Seeking for Sexual Offenders: Implications for Prevention of Sexual Abuse

ABSTRACT

Persons with potentially harmful sexual interests such as attraction to minors are unlikely to seek or receive treatment before a sexual offense has been committed. The current study explored barriers to help-seeking in a sample of 372 individuals in treatment for sexual offending. Results revealed that the shame and secrecy resulting from stigma associated with pedophilic interests often prevented our respondents from seeking professional counseling, and only about 20% tried to talk to anyone about their sexual interests prior to their arrest. Barriers to seeking and receiving psychological services included concerns about confidentiality, fears of social and legal consequences, personal shame or confusion about the problem, affordability, and challenges finding competent therapists who were adequately equipped to help them. Understanding and ultimately reducing obstacles to help-seeking can improve the quality of life for people with harmful sexual interests and potentially prevent sexual abuse of children or other vulnerable individuals.     

Sex,Drugs, and Love Among the Middle Aged: A Case Study of a Serodiscordant Heterosexual Couple Coping with HIV

ABSTRACT

HIV infection attributable to injection is growing, as is the incidence among heterosexual persons. Some of the people affected are over 50, and we can anticipate a growing number of older people with substance use and HIV as primary concerns. Therefore, we need to know more about the intersections of age, addictions, and HIV. This article uses narrative analysis to examine a research interview with an African-American woman and her African-American HIV-infected male partner in order to gain insight about how a middle-aged serodiscordant drug-affected couple might struggle and succeed in the face of HIV. Implications for social work, policy and research are provided.     

MEAD AND THE ART OF TRASH TALKING: I GOT YOUR GESTURE RIGHT HERE

ABSTRACT

Trash talking has rarely been studied within sociology at a time when the behavior itself has been flourishing in amateur and professional sports. George Herbert Mead's ideas on gestures, symbols, and language, in conjunction with the overarching transcendency of the community aid in understanding the development of self and the subsequent behaviors that emanate from and within trash talking in college athletics. Here a Meadian perspective is used to explain the act of trash talking at both macro- and micro-levels. Three areas were identified where Meadian philosophy applies: (1) the game and the role of the generalized other; (2) play and significant communication; and (3) self-development.     

Men Not Included?

SUMMARY

This paper explores debates about male presence and influence in lesbian families from a critical psychology standpoint. Critical psychology encompasses a variety of radical approaches to psychological research that reject traditional psychological assumptions, concepts and methods and that seek to challenge and resist normative values. To explore aspects of the discursive terrain of male influence and to demonstrate the merits of a critical psychology of lesbian families, excerpts from an interview with a lesbian couple who are members of a planned lesbian/gay family (two mummies and a daddy) are analysed. These excerpts show that debates about male influence create live dilemmas and tensions for the lesbian couple and have important consequences for how lesbian parents negotiate and do family.     

Gambling problems seldom come alone: prevalence and temporal relationships of mental health problems in casino excluders

ABSTRACT

To estimate the effectiveness of gambling exclusion programmes, previous research focused on changes in gambling behaviour post-exclusion. Although other mental health problems, especially co-morbid mental disorders, may be crucial for relapse and recovery of gambling-related problems, these factors have rarely been studied in excluders. Therefore, this study aimed to assess a comprehensive mental health status of excluders using well-validated diagnostic instruments. Fifty-eight casino excluders participated in face-to-face diagnostic interviews and completed several validated questionnaires (e.g. Stinchfield Questionnaire, Brief Symptom Inventory). Retrospective temporal sequences of diagnosed mental disorders, help-seeking behaviour and exclusion were examined. The majority of excluders reported impairments in mental health aspects. About three-quarters met criteria of lifetime gambling disorder, more than half in the last 12 months whereby screening and diagnostic measures correlated moderately. Other mental disorders were frequent, especially affective and substance-related disorders and typically preceded the onset of gambling disorder. Six years passed between self-awareness of gambling problems and help-seeking. Two more years passed until exclusion. Frequent mental health problems suggest the need for individually tailored support beyond exclusion programmes (e.g. psychotherapy, pharmacotherapy, counselling services). Late help-seeking and exclusion entry claim for improved early detection and intervention concepts that consider underlying mental disorders.     

From Holding Hands to Having a Thing to Hooking Up: Framing Heterosexual Youth Relationships

ABSTRACT

The experience of forming romantic attachments during adolescence aids in the development of future relationships. The clearly defined and ordered process of forming these relationships does not seem to exist in adolescent relationships today. This study focuses on the language used to define current dating practices, how parents and youth deviate in these definitions, and the ambiguity associated with adolescent romantic relationship behaviors. Findings indicate several tags applied to youth relationships from talking to dating and youth relationships progress along a continuum with somewhat vague behavioral boundaries. These potentially vague boundaries suggest the need to thoughtfully operationalize the terminology used when assessing dating practices and developing programs for youth and their parents so that efforts to prevent adolescent intimate partner violence are more effective.     

Stalking Victimization Among College Women and Subsequent Help-Seeking Behaviors

Objective: The authors examined the incidence of stalking victimization and subsequent help-seeking behaviors among college women. Participants and Methods: A stratified random sample of college women (N = 391) completed an anonymous Internet-based questionnaire in spring 2006. Results: One-fifth of women reported stalking victimization while enrolled at their current institution. Individuals known by victims, such as the following, were most commonly reported as stalkers: acquaintances (48.7%), classmates (37.2%), and boyfriends or ex-boyfriends (34.6%). Approximately half of the women reporting stalking victimization acknowledged not seeking help from anyone in relation to these incidents. Of those seeking some sort of help, most sought assistance from friends (90.2%), parents (29.3%), residence hall advisors (12.2%), or police (7.3%). Conclusion: Comparing their findings to a national study of college women, the authors report that being watched, followed or spied on, and sent unsolicited emails are stalking behaviors on the rise. They present implications for college health and future directions for research.     

Lesbian and Bisexual Women's Sexual Fantasies,Psychological Adjustment,and Close Relationship Functioning

SUMMARY

This study focused on the impact of relationship functioning, relationship satisfaction, psychological adjustment, and the thematic content of sexual fantasies endorsed by lesbian and bisexual couples during masturbation and sexual relations. The sample consisted of 129 women (85 lesbian, 44 bisexual) who were part of a same-sex couple (average relationship duration of 5–10 years). Participants (94% The authors would like to acknowledge Wendy E. Stock, PhD, of Alliant International University, San Francisco Bay Campus, who provided assistance during the preliminary phases of this research endeavor. Portions of this data set have been presented at the Society for the Scientific Study of Sexuality Western Region Meeting as well as the American Psychological Association Convention. Euro-Americans) were recruited through advertisements placed in national gay and lesbian periodicals. Relationship functioning significantly predicted the thematic content of sexual fantasies. However, psychological adjustment did not significantly predict the thematic content of non-traditional sexual fantasies. The authors discuss the implications of these findings for clinicians who practice with lesbian and bisexual women who are in same-sex relationships.     

“A Second-Chance at Being a Parent”: Grandparent Caregivers’ Reported Communication and Parenting Practices with Co-Residential Grandchildren

ABSTRACT

Grandfamilies, family structures in which grandparent(s) co-reside with and assume a primary caregiving role for at least one grandchild, are increasingly common in the United States. This qualitative, exploratory study, informed by family communication patterns theory (FCPT), illuminated the reported communication beliefs and practices of grandparents who serve as primary caregiver to at least one grandchild. Hybrid thematic analysis, combining FCTP with inductive analysis, was used to analyze 21 semi-structured interviews with grandparents. Results yielded four themes describing grandparents’ reported communicative practices: creating opportunities for listening and dialogue, talking about emotion, emphasizing openness, and allowing questioning; and three themes describing the impact of second-chance parenting: increased resources, acquired wisdom, and matured emotionally. Implications for grandfamily communication research in light of hybrid analyses and FCPT are discussed.