Abstract
This study investigated the socio-demographic characteristics and emotional and behavioral factors associated with the perceived need and actual use of adolescent mental health services according to genders in Korea. We assessed 1,857 middle school students aged 14–16 years. We administered a self-reported questionnaire including questions on their socio-demographic data, Korean Youth Self Report, and self perceived need and actual use of mental health services. Overall, 11.6 % of the adolescents demonstrated a self perceived need for mental health services regarding their emotional or behavioral problems, while 2.1 % had sought mental health services. There were discrepancies between the perceived need and actual use. Most adolescents (81.6 %) used mental health services without self-perceived need, and only 3.3 % of adolescents with self-perceived need utilized mental health services. The perceived need of mental health services is positively influenced by the adolescent’s anxious/depressed problems in both genders. The use of them is negatively influenced by the withdrawn problem in adolescent boys, while positively influenced by the aggressive behavior in adolescent girls. To increase the actual use of mental health services more attention needs to be focused on their internalizing problems, such as anxious/depressed and withdrawn problems, in addition to externalizing problems in both genders.
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Heo J, Park HY, Subramanian S, Kawachi I, Oh J (2012) Socioeconomic inequalities in adolescent depression in South Korea: a multilevel analysis. PLoS ONE 7:e47025
Kim G-M, Kim J-W, Kim J-H (2012) Current state of research on youth depression and suicide prevention. J Korean Med Assoc 55:356–361
Korea S (2012) Statistical report of cause of death in Korea in 2009–2011. Statistics Korea, Daejeon
Korea Centers for Disease Control and Prevention (2008) Reports on the Korea Youth Risk Behavior Web-based survey, 2007. Korea Center for Disease Control and Prevention, Seoul
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837
Hofstra MB, Van Der Ende J, Verhulst FC (2001) Adolescents’ self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study. Br J Psychiatry 179:203–209
Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ et al (2003) Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 60:709
Harrington R, Rutter M, Fombonne E (1996) Developmental pathways in depression: multiple meanings, antecedents, and endpoints. Dev Psychopathol 8:601–616
Meltzer H, Gatward R, Goodman R, Ford T (2003) Mental health of children and adolescents in Great Britain. Int Rev Psychiatry 15:185–187
Sawyer MG, Arney FM, Baghurst PA, Clark JJ, Graetz BW et al (2001) The mental health of young people in Australia: key findings from the child and adolescent component of the national survey of mental health and well-being. Aust N Z J Psychiatry 35:806–814
Leaf PJ, Alegria M, Cohen P, Goodman SH, Horwitz SM et al (1996) Mental health service use in the community and schools: results from the four-community MECA study. J Am Acad Child Adolesc Psychiatry 35:889–897
Verhulst FC, Der Ende JV (1997) Factors associated with child mental health service use in the community. J Am Acad Child Adolesc Psychiatry 36:901–909
Saunders SM, Resnick MD, Hoberman HM, Blum RW (1994) Formal help-seeking behavior of adolescents identifying themselves as having mental health problems. J Am Acad Child Adolesc Psychiatry 33:718–728
Cohen P, Hesselbart CS (1993) Demographic factors in the use of children’s mental health services. Am J Public Health 83:49–52
Zahner GE, Daskalakis C (1997) Factors associated with mental health, general health, and school-based service use for child psychopathology. Am J Public Health 87:1440–1448
Garralda M, Bailey D (1988) Child and family factors associated with referral to child psychiatrists. Br J Psychiatry 153:81–89
Zwaanswijk M, Van der Ende J, Verhaak PF, Bensing JM, Verhulst FC (2003) Factors associated with adolescent mental health service need and utilization. J Am Acad Child Adolesc Psychiatry 42:692–700
Sears HA (2004) Adolescents in rural communities seeking help: who reports problems and who sees professionals? J Child Psychol Psychiatry 45:396–404
Hoberman HM (1992) Ethnic minority status and adolescent mental health services utilization. J Mental Health Adm 19:246–267
Wu P, Hoven CW, Bird HR, Moore RE, Cohen P et al (1999) Depressive and disruptive disorders and mental health service utilization in children and adolescents. J Am Acad Child Adolesc Psychiatry 38:1081–1090
Sourander A, Helstelä L, Helenius H (1999) Parent–adolescent agreement on emotional and behavioral problems. Soc Psychiatry Psychiatr Epidemiol 34:657–663
Lee J-C (2003) Health care reform in South Korea: success or failure? Am J Public Health 93:48–51
Burns BJ, Phillips SD, Wagner HR, Barth RP, Kolko DJ et al (2004) Mental health need and access to mental health services by youths involved with child welfare: a national survey. J Am Acad Child Adolesc Psychiatry 43:960–970
Zwaanswijk M, Verhaak PF, Bensing JM, Van der Ende J, Verhulst FC (2003) Help seeking for emotional and behavioural problems in children and adolescents. Eur Child Adolesc Psychiatry 12:153–161
Oh E, Kim S, Park M, Oh M (2002) A study on clients for children and adolescents mental health guidance center on Osan City. J Korean Assoc Soc Psychiatry 7:138–146
Mansbach-Kleinfeld I, Farbstein I, Levinson D, Apter A, Erhard R et al (2010) Service use for mental disorders and unmet need: results from the Israel survey on mental health among adolescents. Psychiatr Servi 61:241–249
Bean T, Eurelings-Bontekoe E, Mooijaart A, Spinhoven P (2006) Factors associated with mental health service need and utilization among unaccompanied refugee adolescents. Adm PolicyMental Health Mental Health Serv Res 33:342–355
Achenbach TM (1991) Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Department of Psychiatry, University of Vermont Burlington
Oh K, Ha E, Lee H, Hong K (2001) K-YSR. Chung Ang Aptitude Publishing Co., Seoul
Sourander A, Helstelä L, Ristkari T, Ikäheimo K, Helenius H et al (2001) Child and adolescent mental health service use in Finland. Soc Psychiatry Psychiatr Epidemiol 36:294–298
Verhulst FC, Achenbach TM, Ferdinand RF, Kasius MC (1993) Epidemiological comparisons of American and Dutch adolescents’ self-reports. J Am Acad Child Adolesc Psychiatry 32:1135–1144
Kataoka SH, Zhang L, Wells KB (2002) Unmet need for mental health care among US children: variation by ethnicity and insurance status. Am J Psychiatry 159:1548–1555
Prior M, Shanya Virasinghe BA, Hons D, Smart D (2005) Behavioural problems in Sri Lankan schoolchildren. Soc Psychiatry Psychiatr Epidemiol 40:654–662
Jorm AF, Nakane Y, Christensen H, Yoshioka K, Griffiths KM et al (2005) Public beliefs about treatment and outcome of mental disorders: a comparison of Australia and Japan. BMC Med 3:12
Lauber C, Rössler W (2007) Stigma towards people with mental illness in develo** countries in Asia. Int Rev Psychiatry 19:157–178
Shea M, Yeh CJ (2008) Asian American students’ cultural values, stigma, and relational self-construal: correlates of attitudes toward professional help seeking. J Mental Health Counsel 30:157–172
Grinstein-Weiss M, Fishman G, Eisikovits Z (2005) Gender and ethnic differences in formal and informal help seeking among Israeli adolescents. J Adolesc 28:765–779
Tishby O, Turel M, Gumpel O, Pinus U, Lavy SB et al (2001) Help-seeking attitudes among Israeli adolescents. Adolescence 36:249–264
Sourander A, Haavisto A, Ronning JA, Multimäki P, Parkkola K et al (2005) Recognition of psychiatric disorders, and self-perceived problems. A follow-up study from age 8 to age 18. J Child Psychol Psychiatry 46:1124–1134
Tuisku V, Kiviruusu O, Pelkonen M, Karlsson L, Strandholm T et al (2014) Depressed adolescents as young adults—predictors of suicide attempt and non-suicidal self-injury during an 8-year follow-up. J Affect Disord 152:313–319
Nanayakkara S, Misch D, Chang L, Henry D (2013) Depression and exposure to suicide predict suicide attempt. Depress Anxiety 30:991–996
Wilson CJ (2007) When and how do young people seek professional help for mental health problems? Med J Aust 187:S35–S39
Coplan RJ, Rubin KH (2010) Social withdrawal and shyness in childhood. The development of shyness and social withdrawal. 3–20
Barker G, Olukoya A, Aggleton P (2005) Young people, social support and help-seeking. Int J Adolesc Medicine Health 17:315–336
Zachrisson HD, Rödje K, Mykletun A (2006) Utilization of health services in relation to mental health problems in adolescents: a population based survey. BMC Public Health 6:34
Rickwood D, Cavanagh S, Curtis L, Sakrouge R (2004) Educating young people about mental health and mental illness: evaluating a school-based programme. Int J Mental Health Promot 6:23–32
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Kim, N.H., Lim, K.Y., Chung, Y.K. et al. Gender Differences in Factors Associated with Perceived Need and Use of Korean Adolescents Mental Health Services. Child Psychiatry Hum Dev 45, 746–752 (2014). https://doi.org/10.1007/s10578-014-0443-9
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DOI: https://doi.org/10.1007/s10578-014-0443-9