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Men's Help-Seeking for Depression: Attitudinal and Structural Barriers in Symptomatic Men
Simon M Rice1,2, John L Oliffe2,3, David Kealy3
1Orygen, Parkville, Victoria, Australia.
Journal of Primary Care & Community Health
|May 16, 2020
Summary
Men with depression face barriers to mental healthcare. Attitudinal factors like reluctance to disclose symptoms and self-reliance significantly hinder help-seeking more than structural issues.
Area of Science:
- Mental Health Services Research
- Men's Health
- Psychiatry
Background:
- Men with depression experience significant challenges in engaging with health services.
- Understanding barriers to mental healthcare for men with depression is crucial for improving outcomes.
Purpose of the Study:
- To investigate attitudinal and structural barriers to mental healthcare among men exhibiting symptoms of major depression.
- To identify factors influencing men's engagement with mental health services.
Main Methods:
- Cross-sectional study utilizing a nationally representative online survey of Canadian men.
- Data collected on depression symptoms (PHQ-9), suicide risk, and barriers to mental health services.
- Logistic regression analysis to determine the predictive effect of attitudinal versus structural barriers.
Main Results:
- Over half of men with depression symptoms reported prior counseling, yet only 8.5% were currently engaged with professional support.
- A majority experienced suicidal ideation in the past two weeks.
- Attitudinal barriers, including reluctance to disclose mood symptoms and self-reliance, were stronger predictors of low help-seeking than structural barriers.
Conclusions:
- Men's reluctance to disclose symptoms and preference for self-reliance are significant barriers to seeking mental health support.
- Gender-transformative approaches in primary care are essential for enhancing depression detection and suicide risk assessment in men.
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