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Self-reported Barriers to Professional Help Seeking Among College Students at Elevated Risk for Suicide
Authors:Ewa K Czyz MS  Adam G Horwitz BA  Daniel Eisenberg PhD  Anne Kramer LMSW  Cheryl A King PhD
Institution:1. Department of Psychiatry and University of Michigan Depression Center, University of Michigan , Ann Arbor , Michigan;2. Department of Psychology , University of Michigan , Ann Arbor , Michigan;3. Department of Health Management and Policy , University of Michigan , Ann Arbor , Michigan;4. Department of Psychiatry , University of Michigan , Ann Arbor , Michigan
Abstract:Abstract

Objectives: This study sought to describe self-reported barriers to professional help seeking among college students who are at elevated suicide risk and determine if these barriers vary by demographic and clinical characteristics. Participants: Participants were 165 non–treatment seekers recruited as part of a Web-based treatment linkage intervention for college students at elevated suicide risk (from September 2010 through December 2011). Methods: Data were collected using Web-based questionnaires. Two coders coded students’ responses to an open-ended question about reasons for not seeking professional help. Results: The most commonly reported barriers included perception that treatment is not needed (66%), lack of time (26.8%), and preference for self-management (18%). Stigma was mentioned by only 12% of students. There were notable differences based on gender, race, and severity of depression and alcohol abuse. Conclusions: Efforts aimed at reaching students at elevated risk for suicidal behavior should be particularly sensitive to these commonly described barriers.
Keywords:barriers  help seeking  mental health  qualitative  suicide risk
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