Mental Health Literacy Survey Research Articles

IJCM_345A: Attitudes and Beliefs among Young Adults in Urban Meerut towards Depression: A Cross-Sectional Study

Background: About 70 % of mental disorders can be diagnosed prior to age 25 years and they comprise the single largest component of disease burden during the second decade of the life span. Globally, Depression is one of the leading causes of disability. WHO estimates that the burden of mental health problems in India is 2443 disability-adjusted life years (DALYs) per 100 00 population. The economic loss due to mental health conditions, between 2012-2030, is estimated at USD 1.03 trillion. There has been an increased rise in the need for improved mental health literacy to address the complex issues surrounding mental well-being. Objective: To explore the attitudes and beliefs and its influencing factors among the young adults of urban Meerut towards Depression. Methodology: It is a community based cross-sectional study done among the 18-25 years age group residents of urban Meerut. The sample size was calculated to be 188 which was rounded off to 190, at 95% confidence interval with 6.5% absolute precision following a prevalence of 29.04% from a similar type of study. Data was collected using semi-structured questionnaire designed based on National Survey of Mental Health Literacy and Stigma Youth Boost Survey V5 by Anthony F. Jorm and Nicola Reavley. Results: In the current study, it was found that about 32.6% (62) of the study participants did not consider depression as a real medical illness. However, it was seen that majority i.e. 90.0% (171) had believed that if that sharing with the close family/friends could help in recovering from depression. Conclusion: By promoting accurate education, responsible media portrayals, personal storytelling, and community engagement towards developing positive public attitudes towards mental health conditions will hold significant power in influencing societal perceptions, shaping interactions, and impacting the well-being of individuals.

A survey of mental health literacy in parents and guardians of teenagers.

Parents and guardians (hereafter caregivers) of teenagers need high levels of mental health literacy (MHL) to manage mental health problems arising in teenagers in their care. Previous studies assessing MHL levels in caregivers of teenagers have reported mixed results, making it difficult to clearly estimate caregiver MHL levels. This study aimed to investigate MHL levels in Japanese caregivers of regular teenagers. Responses from caregivers (n = 1,397) of students entering junior and senior high schools to a self-administered online questionnaire were analyzed. The questionnaire assessed (a) knowledge about mental health/illnesses and (b) attitudes towards mental health problems in teens in their care (e.g., recognition of depression as a medical illness and intention to engage in helping behaviors). The average proportion of correct answers to the knowledge questions (n = 7) was 55.4%; about one tenth (9.2%) of caregivers correctly answered only one or none of the questions. Few caregivers correctly answered about the life-time prevalence of any mental illnesses (46.1%) and appropriate sleep duration for teenagers' health (16.5%). The proportions of caregivers who had the intention to listen to the teen in their care, consult another person, and seek professional medical help if the teen suffered from depression were 99.5%, 91.5% and 72.7%, respectively. Many teenagers' caregivers appeared to be willing to help the teens in their care if they were suffering from mental health problems. However, there was much room for improvement in knowledge on mental health/illnesses and intention to seek help from medical professionals. Efforts toward better education should be made.

Perspective of Teachers on the Mental Health of Students: A Mental Health Literacy Survey

Improving mental health literacy in teachers can help in early identification of mental health problems in children and adolescents and facilitate help-seeking behaviour. Objective: A mental health literacy survey was undertaken in a school located in Bijnor district, Uttar Pradesh to assess baseline knowledge and beliefs about mental health issues in teachers. Method: A questionnaire based on Mental Health Literacy and Capacity Survey For Educators was administered in 39 teachers in an English medium school in Bijnor, Uttar Pradesh. Results: Impulse control difficulties, family and stress related issues, anger issues and bullying were the most common problems that teachers faced with the students in three months preceding the survey. The four commonest measures teachers used to deal with the problems included meeting with the parents (82%), talking with the students to understand the problem and offering support (75%), changing their style of interaction with the student (75%) and reaching out to the administration of the school for support (33%). Increased training opportunities and promotion of collaborative problem solving techniques were some of the measures suggested by teachers to improve mental health literacy. Additional measures such as encouraging students’ to participate in extracurricular activities were suggested to support the mental health needs of the students better. Conclusion: Mental health literacy evaluation in teachers and structured programmes to improve mental health literacy can help teachers in supporting the mental health needs of students.

An Assessment of the Training Program on Mental Health for Community Health Workers in Kashmir, India.

In recent years mental health has emerged as a major health threat in low income countries like India. In response, mental health care has been integrated into primary health care, in turn creating a rising demand for trained and skillful mental health professionals. This study was conducted in district Budgam (J&K), India with the aim of providing training to community health workers (CHWs) and measuring the change using pre- and post-training evaluations. The pre and post tests were undertaken, assessing changes in mental health literacy at three different points of time: pre-training, post-training, and three month follow-up. Mental health literacy was assessed using the interviewer-administered Mental Health Literacy Survey. The training intervention was a five-day course based on a facilitator's manual developed specifically for community health workers in India. A total of 25 community health workers from rural areas of Budgam District (mostly Integrated Child Development Service supervisors), Health Educators and Anganwadi Workers, were engaged for the study. Findings demonstrate that the training course improved participants' ability to recognize any mental health disorders. There was a clear distinction between the level of awareness pre- and post- training. The results were statistically significant on various domains Ability to recognize disorders (Pre-post P= 0.001), Knowledge of the professional help available (Pre-post p= 0.000), Attitudes that promote the recognition or appropriate help-seeking behavior (Pre-post p= 0.000) (p<0.05). Further follow up after three months was done. The mixed findings from this study, suggesting the training course has potential to improve some aspects of mental health literacy among the CHWs, including their understanding of various mental health problems.

Can Sri Lankan Australians Recognise Depression? The Influence of Acculturation, Age and Experiences with Depression on Recognition.

Mental health literacy is an important determinant of mental health help-seeking and is associated with improved mental health. There is evidence that mental health literacy may be lower amongst some migrant communities in Australia. The present study conducted the first cross-sectional survey of mental health literacy in Sri Lankan Australians between April and October 2020. Participants (N = 404) were presented with a culturally-tailored vignette describing an individual with symptoms of major depressive disorder, with correct recognition determined by the coding of an open text response to the question 'what's wrong with Mr Silva?'. Binomial linear regression modelling was conducted to identify predictors of the correct recognition of depression. Approximately 74% of participants recognised the presented symptoms as depression, though multiple other labels were also used by the respondents. The results also suggested that younger age and having a prior diagnosis of depression were significant predictors of recognising depression in the vignette. In the first study of Sri Lankan migrants' mental health literacy in an Australian context, the rates of depression recognition were comparable to those found in the general Australian population. Further research is urgently required to replicate and extend the present findings and ultimately support the development of tailored interventions aimed at improving mental health literacy across the diverse Sri Lankan Australian community.

Investigation of Mental Health Literacy and Status of Residents During the Re-Outbreak of COVID-19 in China.

IntroductionThe current field of research on the impact of COVID-19 on mental health was mostly limited to the evaluation of the first round of the epidemic, few reports focused on the impact of the re-emergence of COVID-19. This study aimed to investigate the mental health literacy and status of residents during the re-outbreak of COVID-19 in China.MethodsThe basic information sheet, health literacy survey scale, physical health questionnaire-9 (PHQ-9), generalized anxiety disorder-7 (GAD-7), insomnia severity index (ISI), and Alzheimer dementia 8 (AD8) were applied to evaluate the mental health literacy, mental health status and elderly cognitive function, and χ2 test was applied for analysis of the difference between different groups.ResultsA total of 2,306 participants were involved in this study, of which 734 people completed the mental health literacy survey. The qualified rate of mental health literacy was 6.4%. The difference is statistically significant. A total of 1,015 people completed the survey of mental health status, the prevalence of depressive symptoms was 8.87%, the monthly income of different families (χ2 = 13.96, P = 0.01), the self-assessed health status (χ2 = 128.56, P < 0.05), the presence or absence of chronic diseases (χ2 = 4.78, P = 0.03), among all which the difference was statistically significant; the prevalence of anxiety symptoms was 3.84%, different regions (χ2 = 12.26, P < 0.05), occupations (χ2 = 11.65, P < 0.05), household monthly income (χ2 = 12.65, P = 0.01), self-rated health status (χ2 = 151.11, P < 0.05), and chronic diseases (χ2 = 7.77, P = 0.01), among all which the differences were statistically significant. The prevalence of insomnia symptoms was 7.98%, different age (χ2 = 18.45, P < 0.05), region (χ2 = 5.11, P = 0.02), monthly household income (χ2 = 12.68 P = 0.01), and self-assessed health status (χ2 = 91.71, P < 0.05), in which there was a statistically significant difference between those with or without chronic diseases (χ2 = 3 3.25, P < 0.05). A total of 557 elderly people over 65 years old completed the cognitive dysfunction screening, in which the prevalence of cognitive dysfunction was 17.41%, and the difference was statistically significant at the different self-assessed health status (χ2 = 96.24, P < 0.05) and with or without chronic diseases (χ2 = 107.09, P < 0.05).ConclusionThe mental health literacy and status of residents have not improved significantly during the second outbreak of the epidemic, indicating that under the normalization of epidemic prevention and control, more attention should be paid to the mental health of residents, and targeted health education and psychological intervention should be carried out to avoid relative adverse events.

Efficacy of a Workplace Intervention Program With Web-Based Online and Offline Modalities for Improving Workers' Mental Health

ObjectiveThis study aims to examine the efficacy of the Workplace Web-based blended psychoeducation mental health intervention program. Of particular interest is the short-term effect of the intervention on workplace burnout, stress, quality of life, and the mental health literacy of workers.Methods and MaterialsThe study focused on employees (n = 456) in specific industries with high levels of work-related stress, adopting a phase III wait-listed cluster randomized controlled trial. Work-related burnout was assessed by the Maslach Burnout Inventory (MBI) and stress was measured using the stress subscale of the Depression, Anxiety, and Stress scale (DASS). Quality of Life was evaluated by the European Quality of Life-5 Dimensions (EQ-5D-5L) and Mental Health Literacy was assessed using the Australian National Mental Health Literacy and Stigma Survey. Data were analyzed as a trial with intention-to-treat analysis and adjustment for the clustering effect of work sites.ResultsSignificant differences between intervention and control groups were found on all outcome measures except the self-rated quality of life. The intervention group displayed a significant reduction in the weighted mean score of about 1.0 units (s.e. = 0.4) on the stress scale (p = 0.015) and an increase in the weighted mean score of 1.9 units (s.e. = 0.9) in the professional accomplishment domain of the MBI (p = 0.035). Significant increases were found in the weighted mean scores in the intervention group for correct recognition of the mental problems, help-seeking, and stigmatization, in comparison to the control group who scored 0.2 (s.e. = 0.1), 0.9 (s.e. = 0.2), 1.8 (s.e. = 0.4), respectively.ConclusionsThe results obtained from a comparison of the outcome measures between the intervention and control groups were statistically significant, indicating that the intervention group performed better on most measures. The study demonstrates that, in the short term. the on-and-offline modalities of the Web-based blended psychoeducation intervention program is efficacious in reducing workplace burnout and stress and promoting mental health literacy at the workplace.

Mental health literacy survey among Cambodia's urban and rural populations: Results from a vignette-based population survey.

BackgroundAlthough there are effective methods for the treatment and management of various mental illnesses, some individuals still do not seek psychiatric treatment. Various factors could affect this reluctance toward treatment, one of which is the public’s lack of mental health literacy. This survey aimed to measure and compare mental health literacy in Cambodia’s urban and rural areas.MethodTours were held to hold seminars that provided information about mental health in the health centers around Phnom Penh (PP) and Siem Reap (SR), and a survey was conducted on mental health literacy for the participants before the seminar at each location. Anthony Jorm’s vignette of psychosis (young adult) and Angermeyer’s questionnaire were used. After the participants were classified into the “agree group” and “disagree group” for each item, the answers for each item given by the participants in PP and SR were compared using the chi-square test and the odds rate was calculated.ResultsThe participants in SR were more likely to give reasons such as inherited causes, economic problems, stress at work, or family problems as the cause of schizophrenia. The percentage of these beliefs about schizophrenia was relatively lower in PP than in SR. Regarding attitudes toward schizophrenia, the participants in SR were more likely to have negative views and predict negative prognoses than the participants in PP. As for participants’ feelings about schizophrenia, the participants in SR reacted more strongly than those in PP. Even though the participants in SR reacted more negatively, they were sympathetic toward individuals with schizophrenia.ConclusionOverall, the participants in the SR group were more likely to have negative attitudes toward schizophrenia than those in the PP group. These results support our hypothesis that mental health literacy represents the maturity of community mental health in a targeted area.

Exploring Depression Literacy among Malaysian Secondary School Adolescents Using a Vignette-Based Questionnaire

Introduction: Mental health literacy is an important element for better recognition of illness and early intervention. This study is aimed at exploring the level of literacy on depression among a sample of secondary school adolescents in Malaysia and the factors that determine their level of literacy regarding depression. Materials and Methods: A cross-sectional study was carried out among 462 secondary school students. Mental health literacy was assessed using the adapted mental health literacy survey using the case vignette method. The questionnaire consists of a set of open-ended questions designed to elicit information regarding the respondents’ ability to identify depression in the case vignette and their ability to identify the appropriate help-seeking actions. Results: About 51.3% of students were able to identify depression, whereas 42.6% and 10.8% were able to identify appropriate help-seeking and medical-related help-seeking actions, respectively. Multivariate analyses show gender and school demographic are predictors for the ability to correctly identify the problem. School demographic is identified as a predictor for the appropriate help-seeking actions, whereas gender, age, and race are predictors for medical-related help-seeking action. Conclusion: The ability of adolescents from this sample to identify depression is higher than the general population in Malaysia. However, their ability to identify treatment is still low. Adolescents who are male, younger, Malay, and come from rural areas are the target subpopulation that will require further actions to improve their mental health literacy.

A survey of mental health literacy in Japanese high school teachers

BackgroundSchool teachers are well-positioned to recognize mental health problems in their students and to help them seek appropriate help. Therefore, teachers need to have high levels of mental health literacy (MHL). In East Asia, however, few studies have examined MHL levels in teachers. In this study, MHL levels were investigated in Japanese teachers.MethodsTeachers (n = 665) from 27 Japanese high schools answered a self-administered questionnaire which assessed (a) knowledge about mental health/illnesses, (b) correct recognition of specific illnesses (depression, schizophrenia and panic disorder), (c) confidence in helping students with depressive symptoms, and (d) confidence in teaching mental health knowledge to students.ResultsThe average proportion of correct answers to the knowledge questions (n = 20) was 58.1%. The proportion of those who correctly answered about the presence of a sharp increase of mental illnesses in adolescence was 51.7%. Few teachers correctly answered about the life-time prevalences of major mental illness in general (21.9%), depression (37.8%) and schizophrenia (19.8%). Depression, schizophrenia and panic disorder in vignette were correctly recognized by 54.1, 35.3 and 78.0% of teachers, respectively. Correct recognition was significantly lower in male than in female teachers. Only a small proportion of teachers had confidence in helping depressed students (19.9%) and in teaching mental health knowledge to students (11.1%).ConclusionsMHL in Japanese high school teachers appears to be low. Education programs should be developed and implemented to improve teacher MHL with the aim of helping them to support students suffering from mental health problems.

Educators' perceived mental health literacy and capacity to support students' mental health: associations with school-level characteristics and provision in England.

Conceptual frameworks for school-based, preventive interventions recognise that educators’ capacity is, in part, dependent on school-level characteristics. This study aimed to (i) examine the factor structure and internal consistency of the Mental Health Literacy and Capacity Survey for Educators (MHLCSE); (ii) assess responses in relation to supporting students’ mental health; (iii) describe schools’ mental health provision in terms of designated roles, training offered, and perceived barriers; (iv) investigate variance in MHLCSE outcomes explained by schools; and, (v) explore school-level predictors of educators’ perceived MHL and capacity after controlling for individual-level characteristics. A multi-level, cross-sectional design involving 710 educators across 248 schools in England was used, and secondary analyses of baseline data collected as part of the Education for Wellbeing Programme were conducted. Mental health provision data was available for 206 schools, of which 95% offered training to some staff, and 71% had a designated mental health lead. Secondary schools offered significantly more training than primary schools. Significant barriers included lack of capacity in Child and Adolescent Mental Health Services (CAMHS) and within school, and communication challenges between agencies. The amount of training offered by schools significantly predicted educators’ awareness and knowledge of mental health issues, treatments and services, legislation and processes for supporting students’ mental health and comfort providing active support, with increased training predicting higher scores. However, little variance was explained by schools (1.7–12.1%) and school-level variables (0.7–1.2%). Results are discussed in relation to current mental health and education policy in England.

Recognition of anxiety disorder and depression and literacy of first-aid support: A cross-sectional study among undergraduate students in Ha Noi, Viet Nam 2018.

This study is aimed at exploring undergraduate students’ abilities to recognize anxiety disorder and depression symptoms, and their literacy of mental first-aid supports for these problems. Using a mixed-method, cross-sectional design, data were collected from 724 undergraduate students in Hanoi. This used a questionnaire on literacy of anxiety disorder and depression, adapted from the Australian National Survey of Mental Health Literacy and Stigma. The prevalence of the respondents who could identify anxiety disorder and depression symptoms were 25.9% and 42.3%, respectively. Literacy of mental first-aid supports focused on: listening to the person in an understanding way, encouraging the person to be more active, seeking professional help, make appointment with the general doctor.

Stigmatizing attitudes of Swiss youth towards peers with mental disorders.

BackgroundPrevious research on public stigma towards people with mental disorders has mostly targeted adult samples and focused on depression, schizophrenia or mental disorders in general. Hence, the present study aimed to investigate predictors of stigmatizing attitudes towards different mental disorders (including less researched ones) in a representative sample of adolescents and young adults.MethodsData from the Swiss Youth Mental Health Literacy and Stigma Survey were used (analytical sample: n = 4,932). Each participant was randomly presented with one of five vignettes (depression; alcohol abuse; depression and alcohol abuse combined; schizophrenia; social anxiety). The structure of stigmatizing attitudes was assessed using confirmatory factor analysis. Regression models, implemented within a structural equation framework, were used to study predictors for the identified latent variables.ResultsA three-factor model for stigmatizing attitudes–consisting of ‘dangerous/unpredictable’, ‘weak-no-sick’, and ‘social distance’ factors–best fitted the data. Female gender was associated with less stigmatizing attitudes. Associations in opposite directions with different latent factors were found for educational and migration background. Exposure to mental disorders (being personally affected, personally having received professional help or knowing someone close who has received treatment for a mental disorder) was either not or was negatively associated with stigmatizing attitudes. In contrast, current mental health symptoms (heightened levels of psychological distress, problematic alcohol use) were generally not or were positively associated with stigmatizing attitudes. Even though the included predictors had some predictive value, the variance explained by the models was rather small (the adjusted R2 varied between 0.03 and 0.26).ConclusionsThe current study indicates that contact with someone who has received treatment for a mental disorder might be an important component of programs aiming to decrease stigmatizing attitudes towards people with mental disorders, since this exposure variable predicted lower levels of stigmatizing attitudes. Furthermore, the findings suggest that target-group interventions for specific subgroups need to be considered, as the process leading to stigmatizing attitudes towards people with mental disorders appears to differ between specific sociodemographic subgroups.

Causes and risk factors for common mental illnesses: the beliefs of paediatric hospital staff in the United Arab Emirates

BackgroundChildren and adolescents with chronic physical health conditions are vulnerable to poor mental health outcomes. The measurement of mental health literacy of health professionals working with such populations is important because of their role in promoting early and appropriate help-seeking. This study sought to determine the beliefs regarding the causes of and risks factors for three types of mental illnesses amongst health professionals in United Arab Emirates.MethodA culturally validated mental health literacy survey presenting three vignettes of fictional characters meeting diagnostic criteria for posttraumatic stress disorder, depression with suicidal thoughts and psychosis was distributed. The survey measured health care professionals’ beliefs regarding the causes of and risk factors for these disorders.ResultsA total of 317 health care professional (> 90% nurses) were surveyed from across the UAE. Although 43.8% correctly endorsed exposure to a ‘traumatic event’ as the most likely cause for developing posttraumatic stress disorder, there was a more limited understanding of the contribution of biopsychosocial factors to the development of the mental illness, particularly for psychosis. Participant socio-demographic variables were associated with attributions of religious or spiritual beliefs and personal weakness as causal and/or vulnerability factors in the development of depression with suicidal thoughts and psychosis.ConclusionsEfforts to improve mental health systems and health care providers in UAE and other similar Middle Eastern countries requires targeted mental health literacy programs that seek to integrate biopsychosocial models of mental illness and their treatment with the positive aspects of religious and cultural beliefs that are dominant in this region.

Anxiety Specific Mental Health Stigma and Help-Seeking in Adolescent Males

Stigmatising attitudes towards mental illness are an established barrier to help-seeking in adolescent males with anxiety. This study aimed to investigate specific forms of personal mental health stigma elicited in response to vignettes of individuals with clinical and non-clinical symptoms of anxiety within a sample of Australian adolescent males. The relationship between stigma and mental health help seeking was also investigated. Seven hundred and two males (aged 12–18 years) completed a vignette-based mental health literacy survey and measures of help-seeking attitudes, intentions and behaviour online. Open-response items were coded for frequency, intensity and form of stigma. A larger percentage of participants exhibited stigma in response to the non-clinical vignette than in response to the non-clinical vignettes. Stigmatising comments towards the non-clinical vignette were also found to be more severe than towards the clinical vignettes. When stigma occured, it was predominantly related to a belief that a mental disorder was due to a personal weakness. Individuals who used stigmatising comments were also more likely to have negative views towards help-seeking. Yet individuals who made stigmatising comments about a peer with clinical social anxiety were more likely to have previously sought mental health help. It is uncommon for adolescent males to hold stigmatising views towards other adolescent males with clinical levels of anxiety. More severe stigma is evident in response to experiences of normative levels of anxiety in response to an event which would typically be considered mildly anxiety-provoking (leaving home to go to university). Implications for youth mental health initiatives targeting help-seeking for anxiety in adolescent males are discussed.

Teacher School Mental Health Literacy Survey: A Validation Study

Since teachers play an instrumental role in identifying students with social-emotional or behavioral (SEB) concerns, there is a need to assess and improve teachers’ knowledge in relation to children’s mental health. This study examines the psychometric properties of one such measure Teacher School Mental Health Literacy Survey (TSMHLS) within a sample of pre-service teachers (n = 38.) The survey assesses the mental health literacy of teachers as it relates to students and within the classroom context. Data analyses were run to explore the internal reliability, discriminant validity, and feasibility of the survey. Analyses indicate moderate to high reliability (Cronbach’s alpha=.743), providing psychometric support for the use of the TSMHLS with pre-service teachers. Pre-service teachers’ discrimination between clinical symptomology and typical development was significant, providing further support for the survey’s use in understanding pre-service teachers’ knowledge of SEB concerns. Finally, feasibility was assessed through average completion time for the online survey (24 minutes), and results indicate that the survey could be feasibly implemented during pre-service teacher training. These findings lend support to the TSMHLS as an appropriate measure to evaluate pre-service teachers’ knowledge of student mental health.

Cross-sectional survey of mental health literacy among undergraduate students of the University of Nigeria

ObjectiveThis study sought to assess knowledge of schizophrenia and help-seeking behaviour among undergraduate students of a Nigerian university. Sociodemographic predictors of correct recognition were also explored.DesignThe study was a cross-sectional...

Assessing Depression-Related Mental Health Literacy among Young Adults

Background and Purpose: Young adults who are 18 to 25 years old have the highest prevalence of depression (10.9%). Depression is a risk factor for suicide. Mental health literacy (MHL) is a key component in assessing recognition and help-seeking for depression with suicidal ideation. This study investigated MHL as it relates to help-seeking for depression with suicidal ideation. Methods: A crosssectional survey design was used. Participants were young adults (n= 430, ages 18 to 24 years old) who lived, worked, and/or attended school in San Francisco, California. Reavley and colleagues’ MHL survey was modified and made available in English, Spanish, and Chinese. Results: Several background factors were positively, though weakly, correlated to MHL, based on the r coefficient. Significant factors were: being female [r=.12, p

The Swiss Youth Mental Health Literacy and Stigma Survey: Study methodology, survey questions/vignettes, and lessons learned

Background and objectivesMental health literacy and stigma towards mentally ill people have hitherto mainly been studied in relation to depression and schizophrenia and in adult samples. The Swiss Youth Mental Health Literacy and Stigma Survey (SYMHLSS) was planned and carried out to address these gaps. The aims of this article are to (1) outline and reflect on the methodology of the SYMHLSS in order to build a sound methodological foundation for preparing and conducting similar future surveys; and (2) advance school-based survey methods more generally. MethodsThe Australian National Survey of Youth Mental Health Literacy and Stigma (telephone survey) served as basis for the Swiss survey. As in the Australian survey, vignettes describing a person with a mental disorder were the core element to which most subsequent survey questions referred. Five vignettes were used in the online-based Swiss survey that used a representative school-based sample of roughly 5000 students: (1) depression; (2) alcohol abuse; (3) depression and alcohol abuse combined; (4) schizophrenia, and (5) social anxiety disorder. Results and conclusionsThe current paper describes (1) the aims and research questions of the SYMHLSS against the backdrop of some essential research gaps in the field; (2) the rationale for selecting the particular vignettes mentioned above; (3) the adaption and development process of the SYMHLSS (including pilot testing); (4) the reasoning for using a school-based online survey with in situ guidance of research staff; (5) and methodological insights gained during data collection. The provided information might be used as guiding references for other researchers who aim to adapt and develop vignette-based surveys in the field of mental health literacy or stigmatizing attitudes or who are planning a school-based online survey with in situ presence of research staff.

What Adolescent Girls Know about Mental Health: Findings from a Mental Health Literacy Survey from an Urban Slum Setting in India.

Background:Youth in vulnerable situations are known to have high rates of mental disorders but low help-seeking. Help-seeking is known to be influenced by mental health literacy (MHL), a key concept that is important for the recognition of mental disorders and planning intervention.Aims:To explore MHL and help-seeking patterns in a group of young women in an urban slum setting in India.Materials and Methods:A total of 337 young women between 16 and 19 years of age belonging to urban slum settings formed the study sample. Two vignettes on depression and self-harm were used to assess: (a) recognition of the disorder, (b) help-seeking, and (c) knowledge of treatments available.Results:Only 8% of women were able to label the condition as depression in the first vignette. Though suicidality was identified correctly by the majority of participants 73 (63%), they did not think it needed urgent intervention. Only a few considered mental health professionals as possible sources of help (19.3% for depression and 2.4% for self-harm). Majority of the young women felt friends and parents were sources of help, and that stigma and lack of awareness were the reasons for not considering professional help.Conclusion:MHL regarding depression and suicidality is low among young women from low-income areas. It is a critical and urgent need to encourage early and appropriate help-seeking for mental health problems in this vulnerable population.