title: Self-reported barriers to professional help seeking among college students at elevated risk for suicide.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
authors.affiliation: a Department of Psychiatry and University of Michigan Depression Center, University of Michigan , Ann Arbor , Michigan.
authors.forename: Ewa K
authors.initials: EK
authors.lastname: Czyz
authors.forename: Adam G
authors.initials: AG
authors.lastname: Horwitz
authors.forename: Daniel
authors.initials: D
authors.lastname: Eisenberg
authors.forename: Anne
authors.initials: A
authors.lastname: Kramer
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: King
mesh_terms: D000437:Alcoholism / Q000523:psychology; D003863:Depression; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D013334:Students / Q000523:psychology*; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology; D011795:Surveys and Questionnaires; D014495:Universities