“It Makes Them Want to Suffer in Silence Rather Than Risk Facing Ridicule”: Youth Perspectives on Mental Health Stigma

Despite high rates of mental health concerns among youth, they are unlikely to receive mental health care, with mental health stigma acting as a barrier. The present study explores youth perceptions of the influences of stigma and what should be done to address it, drawing on a large (n = 705) mixed...

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Bibliographic Details
Published in:Youth & society 2025-01, Vol.57 (1), p.30-55
Main Authors: Austin, Laura J., Browne, Rebecca K., Carreiro, Megan, Larson, Anna G., Khreizat, Ivana, DeJonckheere, Melissa, Schwartz, Sarah E. O.
Format: Article
Language:English
Subjects:
Desire
Ethnicity
Health problems
Ignorance
Mental health
Mental health care
Mental health services
Openness
Perceptions
Privacy
Race
Responsibility
Ridicule
Stigma
Text messaging
Youth
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Summary:Despite high rates of mental health concerns among youth, they are unlikely to receive mental health care, with mental health stigma acting as a barrier. The present study explores youth perceptions of the influences of stigma and what should be done to address it, drawing on a large (n = 705) mixed methods dataset of youth aged 14 to 24 from the National MyVoice Text Message Cohort. Thematic analysis indicated four themes: (1) perceptions of high levels of ignorance about mental health, (2) a continuum from a desire for greater openness to a desire for privacy related to mental health, (3) feeling shamed and dismissed for mental health concerns, and (4) the role of adults in perpetuating of mental health stigma and adults’ responsibility in combating it. Subgroup comparisons revealed variations in endorsement of themes based on gender, age, and race/ethnicity. Implications for research and practice are discussed.
ISSN:0044-118X
1552-8499
DOI:10.1177/0044118X241237236