Mental Health Of Young People Research Articles

Digital media use, depressive symptoms and support for violent radicalization among young Canadians: a latent profile analysis

BackgroundDespite the prominent role that digital media play in the lives and mental health of young people as well as in violent radicalization (VR) processes, empirical research aimed to investigate the association between Internet use, depressive symptoms and support for VR among young people is scant. We adopt a person-centered approach to investigate patterns of digital media use and their association with depressive symptoms and support for VR.MethodsA sample of 2,324 Canadian young people (Mage = 30.10; SDage = 5.44 ; 59% women) responded to an online questionnaire. We used latent profile analysis to identify patterns of digital media use and linear regression to estimate the associations between class membership, depressive symptoms and support for VR.ResultsWe identified four classes of individuals with regards to digital media use, namedAverage Internet Use/Institutional trust, Average internet use/Undifferentiated Trust, Limited Internet Use/Low Trust and Online Relational and Political Engagement/Social Media Trust. Linear regression indicated that individuals in the Online Relational and Political Engagement/Social Media Trust and Average Internet Use/Institutional trust profiles reported the highest and lowest scores of both depression and support for VR, respectively.ConclusionsIt is essential to tailor prevention and intervention efforts to mitigate risks of VR to the specific needs and experiences of different groups in society, within a socio-ecological perspective. Prevention should consider both strengths and risks of digital media use and simulteaneously target both online and offline experiences and networks, with a focus on the sociopolitical and relational/emotional components of Internet use.

Supporting the mental health of young people from ethnically diverse groups during the transition from primary to secondary school

Background: The transition from primary to secondary school is a pivotal period in young people’s lives and can significantly impact their mental health. However, the experiences of young people from ethnically diverse groups during this crucial period of physical, social and emotional development are under-researched, limiting the evidence base for meaningful support. Objectives: This study explored the experiences of young people from ethnically diverse groups during primary-secondary school transition and co-designed ideas for culturally sensitive support. It explicitly focused on the intersection between ethnic and cultural identity, primary-secondary transition and mental health. Methods: The study employed participatory design to collaborate with seven young people from ethnically diverse groups and a peer researcher. Four online workshops mapped participant experiences and ideas concerning the primary-secondary transition, identity and mental health. These were developed into implications for practice, policy and research. Results: Participants highlighted feeling unprepared for the transition, with some experiencing poor mental health and difficulty navigating their ethnic and cultural identity during this time. Participants’ ideas for future transition experiences included: supporting a longer transition period, schools promoting diversity among students and staff, enabling education on ethnicity and culture, breaking stereotypes, enabling mutual learning among staff and students and enabling an open and caring environment to support mental health. Conclusions: The study provides an in-depth understanding of experiences of young people from ethnically diverse groups during primary-secondary transition and suggests ways of supporting multi-faceted transitions and mental health, with a key focus on ethnic and cultural identity formation.

Barriers and facilitators of communitybased implementation of evidencebased interventions in the UK, for children and young people's mental health promotion, prevention and treatment: rapid scoping review - ERRATUM.

Barriers and facilitators of communitybased implementation of evidencebased interventions in the UK, for children and young people's mental health promotion, prevention and treatment: rapid scoping review - ERRATUM.

The contribution of school social work to climate change education and mental health support

ABSTRACT This narrative review outlines how school social workers, as part of multi-professional school teams, can be involved in climate change education and mental health support. Rapid climate change and extreme weather events pose an existential threat to children and adolescents, triggering a range of climate emotions such as worry, anxiety or anger. International research shows that current and future climate scenarios affect young people's mental health. In order to achieve good health and well-being, and to prevent serious mental health problems, it is essential to be aware of their climate emotions and distress. In the climate crisis, schools, as important social spaces for children and adolescents, are therefore challenged to provide appropriate educational responses and health promotion for students of all ages. School social workers can make a professional contribution by providing education and counselling aimed at promoting emotional regulation and coping, empowerment for climate action, building self-efficacy and resilience to climate change, and developing comprehensive climate and health literacy. Finally, new challenges and tasks that arise in this context and that require the professional development of school social work are highlighted.

"It's about how you take in things with your brain" - young people's perspectives on mental health and help seeking: an interview study.

Poor mental health in young people has become a growing problem globally over the past decades. However, young people have also been shown to underutilize available healthcare resources. The World Health Organisation (WHO) has formulated guidelines for youth-friendly health services (YFHSs) to increase youth participation in healthcare. Still, little is known about how young people using these services perceive mental health, indicating a knowledge gap concerning the subjective evaluation of their mental health. To investigate how young people visiting youth health clinics (YHC) perceive the concept of mental health and factors they view as central to maintaining mental health. In total 21 interviews were carried out, 16 in 2018, and 5 in 2023 to assure no changes in findings after the COVID-19 pandemic. Subjects were recruited during visits to youth health clinics (YHCs) in mid-Sweden and were aged 15-23 years. Recruitment strived to achieve heterogeneity in the sample concerning gender, sexual orientation, gender identity and age. Interviews were transcribed and analysed using qualitative content analysis. Findings of the analysis revealed two themes, "Mental health is helped and hindered by the surroundings" and "Mental health is difficult to understand and difficult to achieve". The participants described their health as highly dependent on their social surroundings, and that these are important to maintaining health but may also affect health negatively. They described mixed experiences of the health care services and mentioned prerequisites for seeking care for mental health problems such as accessibility and respect for their integrity, including the right to turn down offered treatment. The informants also viewed mental health as an ongoing undertaking that one must work for, and that it is sometimes difficult to know what constitutes mental health. They also expressed a need from healthcare services to enquire about their health, and to show an active interest in how they are doing. Findings underline the need of young people's individual needs to be met in the healthcare system and their vulnerability to their social surroundings. Health status assessments in young people should consider social and individual factors to fully capture mental health.

Experiences of help-seeking from professional services for a child or young person's mental health concerns during the pandemic: A qualitative study.

The immediate response to the Covid-19 pandemic saw school closures and a shift in provision to online health services for children and young people experiencing mental health concerns. This study provides mental health and referral services with an insight into difficulties experienced as well as recommendations on potential improvements. Semi-structured interviews with 11 parents and six young people. Reflexive thematic analysis was used to analyse the data. Parents and young people reported mixed experiences on accessing mental health support. Priorities and pressures on health services impacted the likelihood of choosing to seek and being able to obtain help. Parents and young people had varying expectations and experiences in help-seeking during the pandemic which were also impacted by others' experiences and views. For many, the relationship with the professional they were in contact with impacted their mental health treatment. Provision was sometimes accessed via private services due to long waiting lists or problems that did not "meet threshold". Understanding the experiences of seeking mental healthcare during the pandemic can inform improvements to access to services at a time when people are most vulnerable. Accessible provision other than private services needs to be made for those on waiting lists. For those who do not meet service threshold, intermediary support needs to be secured to prevent unnecessary exacerbation of symptoms and prolonged problems. If schools are to remain the hub for children and young people's mental health services, they should be considered essential services at all times.

Pragmatic controlled trial of a school-based emotion literacy program for 8- to 10-year-old children: study protocol

BackgroundMental disorders are common in childhood, but many young people do not receive adequate professional support. Help-seeking interventions may bridge this treatment gap, however, there is limited research on interventions for primary-school children. This study aims to evaluate the effectiveness of an emotion literacy program at increasing literacy, reducing stigma, and promoting help-seeking in children aged 8–10 years.Methods and analysisA two-arm pragmatic cluster-controlled trial will compare Thriving Minds, an emotion literacy program for middle primary school children, to a wait-list control condition. Children aged 8–10 years will be recruited from approximately 12 schools (6 intervention schools/6 wait-list control) to participate in Thriving Minds via direct invitation by the program delivery service. Allocation to the intervention condition will be pragmatically, by school. Children will receive the intervention over two 50-minute sessions, across two weeks. Using story books and interactive discussion, the program aims to develop children’s knowledge of their own and other’s emotional experiences and emotion regulation strategies (self-care and help-seeking). The primary outcome is help-seeking intentions. Secondary outcomes include help-seeking knowledge, attitudes, and behaviours, emotion knowledge and attitudes, and stigma. Children will complete surveys at pre-intervention, post-intervention (one week after the program) and 12-week follow-up. Additional satisfaction data will be collected from teachers in intervention schools via surveys (post-intervention and 3-month follow-up) and semi-structured interviews (after follow-up), and selected children via focus groups (12-week follow-up). Analyses will compare changes in help-seeking intentions relative to the waitlist control condition using mixed-model repeated-measures analyses to account for clustering within schools.DiscussionWith demonstrated effectiveness, this universal emotion literacy program for promoting help-seeking for mental health could be more widely delivered in Australian primary schools, providing a valuable new resource, contributing to the mental health of young people by improving help-seeking for early mental health difficulties.Trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12623000910606 Registered on 24 August 2023.

OPENING SPEECH THE 1ST CONFERENCE ON PSYCHOLOGY AND BEHAVIORAL SCIENCES “Mental Health in Young People in the Modernization Era”

CV. Doki Course and Training sebagai lembaga resmi yang fokus pada pengembangan ilmu di bidang pendidikan dan penelitian merasa perlu menyelenggarakan konferensi ini. CV. Doki Course & Training juga mengadakan Call Paper, mengundang para penulis untuk berkontribusi nyata dalam bentuk pemikiran untuk dituangkan dalam tulisan dalam kaitannya dengan mental health. Setidaknya ada 3 subtema yang ditetapkan oleh tim, yaitu Social Behaviour of Young People in the Modernization Era (Perilaku Sosial Anak Muda di Era Modernisasi), Youth, Social Media, and Internet in the Modernization Era (Pemuda, Media Sosial, dan Internet di Era Modernisasi), Deviations in Young People in the Modernization Era (Penyimpangan Anak Muda di Era Modernisasi). Dan Alhamdulillah, melalui proses seleksi, nantinya akan ada 12 artikel yang akan dipublikasikan dalam bentuk Prosiding ISSN dan E-ISSN, yang dapat dibaca oleh semua orang.

Child-first coaching to support young people's mental health

Child-first coaching to support young people's mental health

Examining the mental health impacts of climate change on young people in Canada: a national cross-sectional survey

BackgroundClimate change poses a substantial threat to the mental wellbeing of young people. Population-level research is urgently needed to help inform policies and interventions to ensure that young people are not burdened by long-term mental health impacts from climate change. We sought to identify the prevalence, distribution, and factors associated with climate change-related mental and emotional health outcomes among young people (aged 13–34 years) in Canada. MethodsThis study is part of a larger cross-sectional survey, which examined mental and emotional health responses to climate change among individuals aged 13 years or older from across Canada. We used a multi-stage, multi-stratified random probability sampling procedure. Participants were randomly recruited through either an addressed letter or a telephone call. Online and telephone questionnaires were used to interview individuals in English, French, or Inuktitut between April 1, 2022, and March 31, 2023. Data were weighted by age and province using population estimates from Statistics Canada and analysed using descriptive statistics, factor analyses, and multivariable regression analyses. FindingsThe full survey included 2476 participants, with a subgroup of 409 young people. Of the 401 respondents who provided their gender identity, 215 (54%) identified as cisgender women, 167 (42%) identified as cisgender men, and 19 (5%) identified as non-binary. Preliminary results suggest that young people in Canada experience a wide range of climate-related emotional and mental health outcomes. More than 70% of respondents in the young people subgroup reported having at least mild levels of sadness, anger, worry, anxiety, concern, helplessness, hopelessness, or powerlessness related to climate change. The severity of climate-related emotional responses differed by gender, with non-binary respondents and cisgender women reporting higher average levels of distress than cisgender men. Regional differences were also observed, with northern regions and urban locations reporting more severe reactions. InterpretationThis study builds on the understanding of the burden of climate change on the mental health of young people. If unaddressed, the impact of this burden could have long-standing and wide-reaching public health and related socioeconomic effects. FundingCanadian Institutes of Health Research, ArcticNet, Social Sciences and Humanities Research Council Doctoral Fellowship, Izaak Walton Killam Memorial Scholarship, and Alberta Innovates Graduate Student Scholarship.

Gaining consensus on emotional wellbeing themes and preferences for digital intervention type and content to support the mental health of young people with long-term health conditions: A Delphi study.

Young people (YP) with long-term conditions (LTCs) are at greater risk of psychological distress than those without LTCs. Despite this, there is a scarcity of quality digital interventions designed to help improve mental wellbeing in this population. The aim of this study was to determine what YP, parents and health professionals preferred for future interventions. Twenty-six YP with asthma, diabetes and/or epilepsy (the three most common LTCs in YP), 23 parents of YP with LTCs and 10 health professionals mainly in paediatric specialisms (total n = 59) took part in an online Delphi study to gain consensus (set at 75% agreement) on four questions across three rounds. Participants ordered psychological themes that may be experienced by YP with LTCs by importance and ranked digital intervention types and delivery modes by importance or usefulness. The most common results were reported if no consensus was reached by round 3. Participants preferred a mobile phone app (73% agreement) and a mixture of one-on-one and group support for an intervention (75% agreement). The two highest ranked psychological themes were anxiety (44%) and wanting to appear 'normal' (38%), and the top intervention type was 'general counselling' (54% agreement). There was a clear desire for an app to help with the psychological aspects of living with LTCs and for a combination of one-to-one and group intervention elements. Anxiety and wanting to appear 'normal' might be two closely linked psychological challenges that could be addressed by a single intervention. The results will be important to consider for a future intervention, although further consultation will be needed for app development. Two YP with a LTC provided feedback on the study protocol including the aims and procedures of the project. Another six YP with LTCs were consulted on an early draft of the study questionnaire (the four questions), which was subsequently revised. Once the project began, a patient and public involvement group consisting of two YP with LTCs and one parent of a YP with an LTC gave feedback on the research process, lay report of the results and dissemination plan.

Young people's mental health: facing revolution aggravated by new technologies

Young people are suffering from depression, anxiety, fatalism and may develop suicidal tendencies. The objective is to follow the paths defined by Dairymple, Lukianoff and Haidt regarding the reality of young people. The causes are not fully understood, however, the solution is to help children develop healthy trajectories to minimize mental disorders or suicidal thoughts and behaviors. We also know that schools are a source of tension and that they need to become healthier environments. We know that we are in the middle of a technological revolution, which, through Automation, affects employment and family income. And finally, the most important thing is the interest and commitment to improving communication and family support, family and community ties, as well as children's ties to school, so that they feel safe and connected.

Fitness-yoga – as an effective means of improving the physical and mental health of children and youth

Fitness-yoga is a popular form of health-improving physical activity. It has become a huge trend all over the world, as it provides all participants with a lifestyle training technique combined with physical activity. Yoga practice includes physical postures, breathing techniques, relaxation, and meditation. Fitness-yoga is a safe, simple, and cost-effective way to practice for health. It has been proven to bring numerous benefits to physical and mental health. Fitness-yoga classes reduce stress and promote a healthy lifestyle while strengthening the cardiovascular and respiratory systems, improving well-being, improving weight control and body composition, and contributing to overall disease relief. In addition, it has been found to promote healthier eating and increased physical activity. Fitness-yoga can be used as a means not only to increase the amount of healthy physical activity, but also to achieve social, emotional, and personal balance of the younger generation. The use of fitness-yoga in educational institutions improves mental health and cognition, can improve self-perception, subjective sense of well-being, academic performance, and attention.
 Fitness-yoga as a direction of mental fitness can be a cost-effective and inclusive tool used in educational institutions to solve both physical and mental health problems among children and youth. The practice of fitness-yoga develops in students and schoolchildren a series of strategies and techniques that will help to improve both academically and socially. There is a growing need to integrate fitness-yoga into educational institutions so that students can practice it throughout their studies. Fitness-yoga yoga is an effective long-term means of improving health.
 The methodological basis of the research is a complex of approaches (task, activity, result), principles (scientific, connection between theory and practice, activity), methods (general scientific research methods, in particular analysis and synthesis, are applied). This contributes the purpose of the article - analyzing the effects of fitness-yoga on physical and mental health. Consideration of the effectiveness of the use of fitness-yoga to improve the physical and mental health of young people determined the novelty of this work. It was concluded that fitness-yoga can have a positive effect on mental and physical health. The inclusion of fitness yoga in the educational system would have an important positive impact on the future of young people.

Unravelling the Longitudinal Relations Between Developmental Milestones, General Psychopathology, and Personality Functioning in a Youth Clinical Sample.

Personality functioning, general psychopathology, and developmental milestones achievement are critical domains in the field of young people's mental health; however, no prior research has considered these variables jointly or examined the temporal dynamics between them. To fill these gaps, the present study aimed to investigate the longitudinal associations between the above constructs in a clinical sample of Dutch youth. 525 outpatients (72.5% women; age range: 12-26 years, M = 18.8 ± 2.83) diagnosed with different psychological difficulties were recruited from specialized mental health care services in The Netherlands. They completed self-report measures assessing personality functioning, psychopathological symptoms, and the achievement of youth-specific developmental milestones. Data were collected on three occasions within a year and modelled using a Cross-Lagged Panel Model approach. The levels of personality dysfunction, general psychopathology, and developmental milestones achievement were found to fluctuate from one wave to the other. Personality dysfunction and general psychopathology were positively interrelated at each time point, while both constructs were negatively associated with developmental milestones achievement. Importantly, difficulties achieving developmental milestones predicted a worsening in personality functioning 6 months later. This result would suggest that the achievement of developmental milestones precedes personality functioning, supporting the importance of interventions promoting age-adequate functioning in youth.

Mental Health–Related Outpatient Visits Among Adolescents and Young Adults, 2006-2019

Concerns over the mental health of young people have been increasing over the past decade, especially with the rise in mental health burden seen during the COVID-19 pandemic. Examining trends in mental health-related outpatient visits provides critical information to elucidate contributing factors, identify vulnerable populations, and inform strategies to address the mental health crisis. To examine characteristics and trends in mental health-related outpatient visits and psychotropic medication use among US adolescents and young adults. A retrospective cross-sectional analysis of nationally representative data from the National Ambulatory Medical Care Survey, an annual probability sample survey, was conducted from January 2006 to December 2019. Participants included adolescents (age 12-17 years) and young adults (age 18-24 years) with office-based outpatient visits in the US. Data were analyzed from March 1, 2023, to September 15, 2023. Mental health-related outpatient visits were identified based on established sets of diagnostic codes for psychiatric disorders. Temporal trends in the annual proportion of mental health-related outpatient visits were assessed, including visits associated with use of psychotropic medications. Analyses were stratified by age and sex. From 2006 to 2019, there were an estimated 1.1 billion outpatient visits by adolescents and young adults, of which 145.0 million (13.1%) were associated with a mental health condition (mean [SD] age, 18.4 [3.5] years; 74.0 million females [51.0%]). Mental health-related diagnoses were more prevalent among visits by male (16.8%) compared with female (10.9%) patients (P < .001). This difference was most pronounced among young adults, with 20.1% of visits associated with a psychiatric diagnosis among males vs 10.1% among females (P < .001). The proportion of mental health-related visits nearly doubled, from 8.9% in 2006 to 16.9% in 2019 (P < .001). Among all outpatient visits, 17.2% were associated with the prescription of at least 1 psychotropic medication, with significant increases from 12.8% to 22.4% by 2019 (P < .001). In this cross-sectional study, there were substantial increases in mental health-related outpatient visits and use of psychotropic medications, with greater overall burden among male patients. These findings provide a baseline for understanding post-pandemic shifts and suggest that current treatment and prevention strategies will need to address preexisting psychiatric needs in addition to the effects of the COVID-19 pandemic.

The Prosperous Short Video Environment: Hidden Threats to Young People's Mental Health

Abundant online media fill people's lives, especially the prosperity of short videos, which provide a convenient way of entertainment for young people's busy lives. However, many studies have found that while it brings people fun, it also brings many psychological problems. This study aims to address the psychological problems that occur in young people and propose ways to reduce the impact of the problems. By reading existing literature, combined with network data and the current network environment, this article finds out the psychological problems that young people will have after using short video platforms, such as blurring the boundaries between reality and virtual behavior, one-sided videos increasing psychological anxiety. After analyzing the problems, this paper found that the main causes of these problems came from social pressure and the platform's regulatory capabilities. Hence, young people can reshape their understanding of the short video virtual environment and improve their ability to resist the psychological problems caused by exploring new interests.

Advancing Understanding on Greenspace and Mental Health in Young People.

Mental distress among young people has increased in recent years. Research suggests that greenspace may benefit mental health. The objective of this exploratory study is to further understanding of place-based differences (i.e., urbanity) in the greenspace-mental health association. We leverage publicly available greenspace data sets to operationalize greenspace quantity, quality, and accessibility metrics at the community-level. Emergency department visits for young people (ages 24 and under) were coded for: anxiety, depression, mood disorders, mental and behavioral disorders, and substance use disorders. Generalized linear models investigated the association between greenspace metrics and community-level mental health burden; results are reported as prevalence rate ratios (PRR). Urban and suburban communities with the lowest quantities of greenspace had the highest prevalence of poor mental health outcomes, particularly for mood disorders in urban areas (PRR: 1.19, 95% CI: 1.16-1.21), and substance use disorders in suburban areas (PRR: 1.35, 95% CI: 1.28-1.43). In urban, micropolitan, and rural/isolated areas further distance to greenspace was associated with a higher prevalence of poor mental health outcomes; this association was most pronounced for substance use disorders (PRRUrban: 1.31, 95% CI: 1.29-1.32; PRRMicropolitan: 1.47, 95% CI: 1.43-1.51; PRRRural 2.38: 95% CI: 2.19-2.58). In small towns and rural/isolated communities, poor mental health outcomes were more prevalent in communities with the worst greenspace quality; this association was most pronounced for mental and behavioral disorders in small towns (PRR: 1.29, 95% CI: 1.24-1.35), and for anxiety disorders in rural/isolated communities (PRR: 1.61, 95% CI: 1.43-1.82). The association between greenspace metrics and mental health outcomes among young people is place-based with variations across the rural-urban continuum.

"What Works" to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach.

Despite overwhelming international evidence of elevated rates of poor mental health in LGBTQ+ youth compared to their cis-heterosexual peers, we know relatively little about effective mental health services for this population group. This study aims to produce the first early intervention model of "what works" to support LGBTQ+ youth with emerging mental health problems. Utilizing a mixed method case study, we collected data across 12 UK mental health service case study sites that involved: (a) interviews with young people, parents, and mental health practitioners (n = 93); (b) documentary analysis; (c) nonparticipant observation. The data analysis strategy was theoretical using the "explanation-building" analytical technique. Our analysis suggests an intersectional youth rights approach with 13 principles that must be enacted to provide good mental health services as advocated by the United Nations Convention on the Rights of the Child and World Health Organization. This approach should address the multiple forms of marginalization and stigmatization that LGBTQ+ youth may experience, enable informed independent decision-making, and uphold the right to freedom of safe self-expression. A rights-based approach to mental health services for LGBTQ+ young people is not prominent. This needs to change if we are to tackle this mental health inequality and improve the mental well-being of LGBTQ+ youth worldwide.

The Psychological Impact of Social Media on Gen Z

In the era of rapid development of science and technology, the popularity of social media and online communities has shaped the experiences and perspectives of Generation Z (Gen Z) - those born between the mid-90s and early 2010s. In recent years, more and more individuals and media have begun to pay attention to the impact of social media on people. This paper, which takes Generation Z as the research object article, will focus on the psychological impact of social media on Gen Z.  Generation Z, unlike any previous generation, has a unique growing environment --- a digital environment. Starting from this perspective, the paper will analyze why human beings are faced with unprecedentedly complex psychological problems according to existing literature, with the purpose of in-depth research on the psychological impact of social media and online communities on Generation Z. this paper concludes that social media will greatly affect people’s psychological state, which has good and bad effects on current people. While social media platforms offer avenues for connection and self-expression, they also present various new challenges. Promoting the mental health of young people in a digital environment is crucial by balancing the positive aspects of social media with being aware of its potential negative effects.

Barriers to and facilitators of user engagement with web-based mental health interventions in young people: a systematic review.

Many young people (YP) are diagnosed with mental illnesses and require support. Web-based mental health interventions (W-MHIs) have been increasingly utilized by YP, healthcare providers, and parents due to reasons including convenience and anonymity. W-MHIs are effective in improving mental health in YP. However, real-world engagement with W-MHIs remains low. Therefore, understanding barriers/facilitators of user engagement with W-MHIs is necessary to promote W-MHIs and help users gain optimal benefits through higher engagement. This review aims to identify barriers/facilitators of user engagement with W-MHIs in YP aged 10-24years. A systematic search of five databases for English language, peer-reviewed publications was conducted between January 2010 and February 2023. Studies examining factors influencing user engagement with W-MHIs, described as barriers or facilitators, were included. Study quality was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was performed. Of 4088 articles identified, 69 studies were included. Barriers/facilitators were reported by young people (63 studies), providers (17 studies), and parents/caregivers (8 studies). YP perceived that usefulness and connectedness were the most common facilitators, whereas low-perceived need was the most reported barrier. Both providers and parents reported that perceived usefulness for YP was the most common facilitator, whereas concerns about program effectiveness and privacy were noted as barriers. This review found that program- and individual-related factors were important determinants of engagement with W-MHIs. This review provides guidance on the future design and development of new interventions, narrowing the gap between existing W-MHIs and unmet needs of users.