Abstract：
The unmet need for mental health care is a global concern. There is a lack of cross-cultural studies examining adolescent help-seeking behavior from both formal and informal sources, including both high-and lower-income countries. This study investigates mental health help-seeking behavior in eight Asian and European countries. Data from 13,184 adolescents aged 13-15 (51% girls) was analysed using mixed-effects logistic regression with school-wise random intercepts to compare countries and genders. Although a significant proportion of adolescents considered getting or sought informal help, formal help-seeking remained exceptionally low, especially in middle-income countries (< 1%), while it ranged from 2 to 7% in high-income countries. Among adolescents with high emotional and behavioral problems (scoring above the 90th percentile on the Strengths and Difficulties Questionnaire), 1-2% of those in middle-income countries and 6-25% of those in high-income countries sought formal help. Girls generally seek more help than boys. The study shows the most adolescents do not receive formal help for mental health problems. The unmet need gap is enormous, especially in lower-income countries. Informal sources of support, including relatives, peers, and teachers, play a crucial role, especially in lower-income countries.
摘要：
对精神保健的未满足需求是全球关注的问题。缺乏从正式和非正式来源考察青少年求助行为的跨文化研究，包括高收入和低收入国家。这项研究调查了八个亚洲和欧洲国家的心理健康求助行为。使用混合效应逻辑回归分析了13,184名13-15岁青少年（51％的女孩）的数据，并采用随机截获的方式进行了分析，以比较国家和性别。尽管很大一部分青少年考虑获得或寻求非正式帮助，正式求助仍然异常低，特别是在中等收入国家(<1%)，而在高收入国家，这一比例从2%到7%不等。在情绪和行为问题严重的青少年中（在“优势和困难问卷”上得分高于第90百分位），1-2％的中等收入国家和6-25％的高收入国家寻求正式帮助。女孩通常比男孩寻求更多的帮助。研究表明，大多数青少年在心理健康问题上没有得到正式的帮助。未满足的需求差距是巨大的，特别是在低收入国家。非正式的支持来源，包括亲戚,同行,和老师们，发挥关键作用,特别是在低收入国家。
