Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis.

Schnyder, Nina; Panczak, Radoslaw; Groth, Nicola Svenja; Schultze-Lutter, Frauke (2017). Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. British journal of psychiatry, 210(4), pp. 261-268. Royal College of Psychiatrists 10.1192/bjp.bp.116.189464

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BACKGROUND Mental disorders create high individual and societal costs and burden, partly because help-seeking is often delayed or completely avoided. Stigma related to mental disorders or mental health services is regarded as a main reason for insufficient help-seeking. AIMS To estimate the impact of four stigma types (help-seeking attitudes and personal, self and perceived public stigma) on active help-seeking in the general population. METHOD A systematic review of three electronic databases was followed by random effect meta-analyses according to the stigma types. RESULTS Twenty-seven studies fulfilled eligibility criteria. Participants' own negative attitudes towards mental health help-seeking (OR = 0.80, 95% CI 0.73-0.88) and their stigmatising attitudes towards people with a mental illness (OR = 0.82, 95% CI 0.69-0.98) were associated with less active help-seeking. Self-stigma showed insignificant association (OR = 0.88, 95% CI 0.76-1.03), whereas perceived public stigma was not associated. CONCLUSIONS Personal attitudes towards mental illness or help-seeking are associated with active help-seeking for mental problems. Campaigns promoting help-seeking and fighting mental illness-related stigma should target these personal attitudes rather than broad public opinion.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Schnyder, Nina; Panczak, Radoslaw; Groth, Nicola Svenja and Schultze-Lutter, Frauke


600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services




Royal College of Psychiatrists




Doris Kopp Heim

Date Deposited:

07 Feb 2017 10:47

Last Modified:

09 Sep 2017 09:52

Publisher DOI:


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