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Despite high incidence rates of adolescent mental health difficulties, only a small minority of young people access support. To explore this gap, this systematic literature review (SLR) synthesises existing research exploring barriers and facilitators to help-seeking. The authors identified 12 eligible studies that were critically appraised: seven provided quantitative data, two provided qualitative data and three employed mixed-methods approaches. Four global barrier themes were identified, namely: stigma; practical barriers; negative attitudes and perceptions; and knowledge barriers. Two global facilitator themes also emerged, including: mental health literacy; and wellbeing and community factors. The findings highlight important implications for improving help-seeking behaviours in adolescents, including increasing mental health support in school. The findings are discussed relative to the role of the educational psychologist (EP), as EPs are well-positioned to support universal and targeted approaches that endeavour to reduce stigma, enhance service accessibility, promote connectedness, and improve mental health literacy.

Exploring perceived barriers and facilitators to mental health help-seeking in adolescents: a systematic literature review