Perceived barriers to help-seeking for depression among secondary school students in Lagos, Nigeria

• Published in: Babcock University Medical Journal Vol. 1; no. 1
• Main Authors: I Adeosun, A Adegbohun, T Peters, O Jeje, A Bello, O Manuwa
• Format: Journal Article
• Language: English
• Published: Babcock Medical Society 31.03.2015
• Subjects: Adolescents; Barriers to help-seeking; Depression; Mental Health Literacy; Stigma; Treatment-gap
• ISSN: 2465-6666; 2756-4657
• DOI: 10.38029/bumj.v1i1.19

Objective: In spite of a wide range of effective treatment options, a huge treatment gap persists for depression among adolescents especially in low and middle-income countries. The barriers to help seeking for depression among Nigerian adolescents are currently under-researched. Identifying these barriers is critical to the design of interventions towards better utilisation of mental health services. This study assessed the barriers to help-seeking for depression among adolescent secondary school students in Lagos Nigeria. Method: Using a cross-sectional study design, 156 adolescent students attending a public co-educational secondary school in Lagos, south-West Nigeria completed a vignette-based questionnaire which assessed barriers to help-seeking for depression. The vignette depicted an adolescent with depression according to the DSM-1V criteria. Result: The mean age of the participants was 15.9 (± 1.1) years and 49% were males. The most commonly perceived barrier to help-seeking for depression was stigma (50.6%). Other barriers reported included disapproval by families/friends (21.2%), illness-related factors (7.7%), negative attitudes to treatment (7.1%), financial constraint (5.1%), ignorance (3.9%) and preference for spiritual treatment (3.9%). Conclusion: Stigma, ignorance, misperceptions and negative attitudes to treatment are major barriers to help-seeking for depression among adolescents. Destigmatisation and mental health literacy interventions are crucial steps towards facilitating help-seeking among adolescents with depression.