| Individual functioning and well-being |
Academic performance (f/b) |
Poor academic performance facilitated help-seeking (f). Not noticing or not experiencing problems in academic performance hindered help-seeking (b) |
|
Physical symptoms (f) |
Physical symptoms accompanying depression were often a reason to seek help (f) |
|
Mental distress (f/b) |
Experiencing mental distress facilitated help-seeking (f). In others, depressive symptoms like feelings of hopelessness inhibited them from seeking help (b) |
| Health literacy |
Knowledge about depression (f/b) |
Knowledge (f) or limited knowledge (b) about depression |
| Attitudinal aspects |
Shame (b) |
Being ashamed of symptoms and dysfunctioning hindered help-seeking (b) |
|
Dealing with symptoms by yourself (b) |
The idea that others are unable to help, mood is something you can only change by yourself, not wanting to become a burden to family members, and not being worthy of treatment were reasons not to seek help (b) |
|
Openness (f) |
Being talkative and open (f) |
|
Attitude towards treatment (f/b) |
Negative (b) or positive (f) attitude, formed by hearing negative or positive stories about mental health in the surroundings or by own previous experience |
| Surroundings |
Identifying and signaling of symptoms by others (f/b) |
School professionals, friends and parents noticing (f) or not noticing symptoms (f) |
|
Stigma and cultural influences (b) |
Expected or perceived stigma (b) across all cultural backgrounds |
| Accessibility |
Accessibility of general practitioner (b) |
Embarrassment, stigma and the belief that the GP is only for physical symptoms (b) |
|
Waiting time (b) |
Long waiting time (b) |
|
Effectuation of referral (f/b) |
General practitioner or health care professional making sure referral is effectuated (f). Adolescent needed to effectuate referral themselves (b) |
|
Direct access to treatment (f) |
Access to a school mental health worker, online applying for mental health care, having contact details of mental health care at hand(f) |
|
Reimbursement (f) |
The idea that treatment will not be paid for by the insurance company after a certain age (f) |
