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(Carer; mother, 58, White Irish) (see also Additional File 1, 2.2 and 2.3) Many carers (n = 8) discussed the service user's lack of acknowledgement of their psychosis and reluctance to get help as a barrier for contacting services.
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"Thinking that nothing can help" decreased as a barrier to help seeking in the target region, whilst it either increased or stabilised in the comparison region, suggesting that young people became more positive toward the potential benefits of treatment.
In a further study hopelessness, gender and prior help-seeking experience did not have any greater influence than suicide ideation in reducing intentions to seek help [ 16], leading the authors to conclude that suicide ideation decreased intention to seek help and acts as a barrier to help seeking, especially from mental health professionals and telephone help lines.
Provider delay and providers not responding to requests for help were mentioned as a barrier by four people, which suggests this is an aspect for further study.
Also, prisoners have reported concerns about the professional service provider as a barrier to seeking help while imprisoned [ 15].
Lack of information about mental health problems and appropriate sources of help have been identified as a barrier to effective help seeking by young people and parents (as revealed through focus groups).
As clinicians prioritise patient well-being, emphasising the potential patient benefits to them could help remove a barrier to recruitment.
They commented on stigma in a rather disheartening manner, expressing views of stigma as a barrier to help seeking and service utilization.
(Carer; mother, 59, White British) Most service user respondents (n = 15) reported concerns about stigma as a barrier to help-seeking: fear of negative reactions to mental illness from others (n = 12); fears about mental health services (n = 5); and fears about the social consequences of mental health service involvement (n = 5).
Additionally, critical time was lost due to non recognition of early psychotic symptoms Almost one third of the sample reported financial difficulties as a barrier to help seeking.
Stigma may serve as a barrier to help seeking for any type of depression.
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