Evidence mapPaperPMID 40240964Full record

SynthesisBMC public health2025

Exploring attitudes towards seeking help for mental health problems among university students from racially minoritised backgrounds: a systematic review and thematic synthesis.

Rosa Hardy, Helen West, Peter Fisher

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rosa HardyPrimary Care and Mental Health, Institute of Population Health, University of Liverpool, Eleanor Rathbone Building, The University of Liverpool, 74 Bedford Street South, Liverpool, L69 7ZA, UK.
Helen WestDepartment of Psychology, Institution of Population Health, University of Liverpool, Eleanor Rathbone Building, The University of Liverpool, 74 Bedford Street South, Liverpool, L69 7ZA, UK.
Peter FisherPrimary Care and Mental Health, Institute of Population Health, University of Liverpool, Eleanor Rathbone Building, The University of Liverpool, 74 Bedford Street South, Liverpool, L69 7ZA, UK. plfisher@liverpool.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUniversity students from racially minoritised backgrounds are at an increased risk of experiencing mental health difficulties but are less likely to seek support compared to students from racial and ethnic majority backgrounds. To increase the accessibility and appropriateness of mental health support for university students, it is important to understand the attitudes towards seeking help for mental health of underserved student groups. This is the first systematic review to synthesise the available qualitative data which explores attitudes toward seeking help for mental health problems among students from racially minoritised backgrounds.

methodsThis systematic review includes qualitative studies exploring attitudes towards seeking help for mental health difficulties among racially minoritised university students. A literature search was carried out using PsycINFO, CINAHL, Medline and Web of Science in March 2024. Participants were racially minoritised university students. Data were synthesised using a thematic synthesis.

resultsOf 493 papers identified, 15 were included in the final thematic synthesis following methodological appraisal of their quality using the Critical Appraisal Skills Programme. There were a total of 314 participants across all included papers. Four analytical themes were identified: "cultural attitudes" outlined how culturally specific experiences of stigma, lack of conversations about mental health, faith, and gender influenced attitudes; "interpersonal relationships" explored the impact of family and peer relationships on attitudes; "psychological barriers" described how psychological constructs, such as preference for self-reliance and feared consequences of disclosure, were culturally-informed barriers to help-seeking; and "systemic barriers" encompassed the structural barriers, discriminatory practices and perceived cultural incompetence of services and institutions that negatively impacted on attitudes towards help-seeking for mental health difficulties.

conclusionCulture, identity and social inequality inform attitudes towards help-seeking among racially minoritised students. Exploration of how these factors interact with university systems may improve the provision of mental health support. Systemic change is needed within universities and mental health services to tackle inequality and improve support for racially minoritised students.

Indexed as

Attitude to HealthEthnic and Racial MinoritiesHelp-Seeking BehaviorMental DisordersPatient Acceptance of Health CareStudentsFemaleHumansMaleMental Health ServicesQualitative ResearchSocial StigmaUniversitiesYoung AdultAttitudesHelp-seekingMental healthRacially minoritisedUniversity students

Identifiers

PMID40240964
PMCPMC12001731

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.