Table 2.

Fuzzy-Set Calibration of Causal Conditions and Outcome

Condition	Fuzzy Sets	Fuzzy-Set Score			Fully in	Crossover	Fully out
Help-seeking: Help-seeking was calibrated based on analysis of the qualitative interviews. Participants were asked “Has there ever been a time when you’ve considered talking to a professional about these experiences?” Based on their response to this question, their membership in the outcome set help-seeking was calibrated using the indirect methods.	Fully in: Wants help or has already welcomed help.	1
	More in than out: Participant cites social challenges that participant feels could be overcome, notes that past therapy was not helpful or expresses fears of stigma (“Someone telling me I’m crazy”.)	0.75
	Crossover point	0.5
	More out than in: Participant cites social challenges that prevent seeking help (such as lack of insurance), identifies alternative sources of support or expresses concerns about larger social stigma (“Our community does not do that.”).	0.25
	Fully out: Participant responds “No” or “I do not need help.”	0
Depression: Depression symptoms were measured using the (QIDS) total score range of 0 to 27. For the fuzzy set for low depression symptoms, we set fully in at the midpoint for no depression, the crossover at 6.5, and fully out at the upper limit of mild depression. For high depression symptoms, we set fully in at the upper boundary of very severe depression, the crossover at the upper limit of moderate depression and fully out at the lower limit of moderate depression.
	Low depression symptoms				3	6.5	10.9
	High depression symptoms				21	14.9	11
PTSD: PTSD symptoms were measured using the PCL-5, total score range 0 to 80. For low PTSD, we set fully in at the equivalent of a response of “not at all” to half of the items and “a little bit” to half of the items, the crossover at the equivalent of “a little bit” on each item and fully out at the cutoff for provisional PTSD. For high PTSD, we set fully in at the equivalent of answering “quite a bit” to all items, the crossover at between “moderately” and “quite a bit” on each item and fully out at the cutoff for provisional PTSD.
	Low PTSD symptoms				10	20	33
	High PTSD symptoms				60.1	49.9	33
Discrimination: Discrimination was measured the PEDQ – CV, score range 17 to 85. For high discrimination, we set the fully out score at the equivalent of “rarely” on each item The crossover was set at halfway between “rarely” and “sometimes” and the fully in score at the equivalent of “sometimes” on each item. For low discrimination, we set the fully in score corresponding to “never/rarely,” the crossover score at just below the equivalent of “rarely,” and the fully out between “rarely’ and “sometimes.”
	Low discrimination				25	32.9	39
	High discrimination				51	42.5	34
Financial Worry: We used a single item asking: “How many times in the past 12 months were you worried or stressed about paying your rent?” Total scores on this item range 1 to 5. For high financial worry, we set the fully in score at “never”, the crossover at “usually” and the fully out score at “sometimes.” For low financial worry, we set the fully in score at “never”, the crossover at “rarely” and the fully out score at “sometimes”.
	High financial worry				1	1.9	3.1
	Low financial worry				5	3.9	3

Note. PCL-5 = PTSD Checklist for DSM-5; QIDS = Quick Inventory of Depressive Symptomatology; PEDQ-CV = Perceived Ethnic Discrimination Questionnaire –Community Version.