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This study examined the actual help-seeking behaviors of 428 Black students at an urban HBCU to identify factors propelling students to seek mental health services at a university counseling center. In contrast to Black students’ reported reluctance to seek professional mental health services, self-referrals accounted for 39.7% of students seeking services. Despite the stigma associated with experiencing a mental health concern, students’ social and familial capital also factored heavily in the referral for services. Family problems, couples problems, peer interpersonal relationship problems, depression, anxiety and stress were major concerns influencing help-seeking. To facilitate student growth and development, counseling centers should provide transformative services that enhance students’ capacity for self-awareness, self-management, and academic success.

An examination of the help-seeking behaviors of HBCU students by gender, classification, referral source, and mental health concerns