Help-seeking behaviours, barriers to care and self-efficacy for seeking mental health care: a population-based study in Rwanda.

Journal: Social psychiatry and psychiatric epidemiology

Volume: 51

Issue: 1

Year of Publication: 2016

Affiliated Institutions:  Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. aumubyey@nursph.org. Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Public Health and Community Medicine, Section for Epidemiology and Social Medicine, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.

Abstract summary 

Mental disorders commonly affect young people but usually go unrecognized and untreated. This study aimed to investigate help-seeking behaviours, barriers to care and self-efficacy for seeking mental health care among young adults with current depression and/or suicidality in a low-income setting.This cross-sectional study used two sub-populations: a sub-sample of those suffering from current depression and/or suicidality (n = 247) and another of those not suffering from these conditions and not suffering from any other mental condition investigated (n = 502). Help-seeking behaviours, barriers to care and self-efficacy for mental health care seeking were measured among those suffering from current depression and/or suicidality (n, %). Logistic regression was used to identify risk factors for experiencing barriers to care. Self-efficacy for seeking mental health care was compared between men and women in the two sub-populations.Of the 247 men and women with current depression and/or suicidality, 36.0 % sought help at a health care unit and 64.0 % from trusted people in the community. Only six people received help from a mental health professional. The identified barriers were mainly related to accessibility and acceptability of health services. For the population suffering from current depression and/or suicidality, the self-efficacy scale for seeking mental health care suggested a low confidence in accessing mental health care but a high confidence in respondents' ability to successfully communicate with health care staff and to cope with consequences of seeking care.The current study clearly highlights young adults' poor access to mental health care services. To reach universal health coverage, substantial resources need to be allocated to mental health, coupled with initiatives to improve mental health literacy in the general population.

Authors & Co-authors:  Umubyeyi Aline A Mogren Ingrid I Ntaganira Joseph J Krantz Gunilla G

Study Outcome 

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Statistics
Citations :  Kosidou K, Hellner-Gumpert C, Fredlund P, Dalman C, Hallqvist J, et al. Immigration, transition into adult life and social adversity in relation to psychological distress and suicide attempts among young adults. PLoS One. 2012;7:e46284. doi: 10.1371/journal.pone.0046284.
Authors :  4
Identifiers
Doi : 10.1007/s00127-015-1130-2
SSN : 1433-9285
Study Population
Men,Women
Mesh Terms
Adult
Other Terms
Barriers to health care;Depression;Help seeking;Self-efficacy for seeking mental health care;Suicidality
Study Design
Study Approach
Country of Study
Rwanda
Publication Country
Germany