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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 1/2016

Open Access 01-01-2016 | Original Paper

Help-seeking behaviours, barriers to care and self-efficacy for seeking mental health care: a population-based study in Rwanda

Authors: Aline Umubyeyi, Ingrid Mogren, Joseph Ntaganira, Gunilla Krantz

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2016

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Abstract

Purpose

Mental disorders commonly affect young people but usually go unrecognized and untreated. This study aimed to investigate help-seeking behaviours, barriers to care and self-efficacy for seeking mental health care among young adults with current depression and/or suicidality in a low-income setting.

Methods

This cross-sectional study used two sub-populations: a sub-sample of those suffering from current depression and/or suicidality (n = 247) and another of those not suffering from these conditions and not suffering from any other mental condition investigated (n = 502). Help-seeking behaviours, barriers to care and self-efficacy for mental health care seeking were measured among those suffering from current depression and/or suicidality (n, %). Logistic regression was used to identify risk factors for experiencing barriers to care. Self-efficacy for seeking mental health care was compared between men and women in the two sub-populations.

Results

Of the 247 men and women with current depression and/or suicidality, 36.0 % sought help at a health care unit and 64.0 % from trusted people in the community. Only six people received help from a mental health professional. The identified barriers were mainly related to accessibility and acceptability of health services. For the population suffering from current depression and/or suicidality, the self-efficacy scale for seeking mental health care suggested a low confidence in accessing mental health care but a high confidence in respondents’ ability to successfully communicate with health care staff and to cope with consequences of seeking care.

Conclusion

The current study clearly highlights young adults’ poor access to mental health care services. To reach universal health coverage, substantial resources need to be allocated to mental health, coupled with initiatives to improve mental health literacy in the general population.
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Metadata
Title
Help-seeking behaviours, barriers to care and self-efficacy for seeking mental health care: a population-based study in Rwanda
Authors
Aline Umubyeyi
Ingrid Mogren
Joseph Ntaganira
Gunilla Krantz
Publication date
01-01-2016
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2016
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1130-2

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