title: Correlates of help-seeking behavior among at-risk adolescents.
abstract: This study compared demographic, academic, and clinical characteristics of adolescents at risk for mental health problems who either did or did not request help during a voluntary mental health screening. High school students completed a self-report to identify risk of mental health problems (n=364). Students at risk were administered a clinical interview. Among those at risk, we compared those who requested help (n=61) to those who did not (n=22). The group who did not request help had a larger proportion of Caucasian students, higher grades, fewer days absent, and fewer detentions than their counterparts. In addition, those who did not request help were significantly more likely to report suicidal ideation in the preceding 3 months (63.6% vs. 27.9%, p< .001). Relying on adolescents' requests for help alone would likely not identify many of those with suicidal ideation. Two-stage voluntary mental health screenings increase the detection of these adolescents at risk.
authors.affiliation: New York State Psychiatric Institute of Columbia University, 1775 Broadway, Suite 610, New York, NY 10019, USA. HuskyM@childpsych.columbia.edu
authors.forename: Mathilde M
authors.initials: MM
authors.lastname: Husky
authors.forename: Leslie
authors.initials: L
authors.lastname: McGuire
authors.forename: Laurie
authors.initials: L
authors.lastname: Flynn
authors.forename: Christine
authors.initials: C
authors.lastname: Chrostowski
authors.forename: Mark
authors.initials: M
authors.lastname: Olfson
mesh_terms: D000293:Adolescent; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008403:Mass Screening / Q000523:psychology; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D008605:Mental Health Services; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012017:Referral and Consultation; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D013405:Suicide / Q000523:psychology; D000092864:Suicide Prevention