The influence of stigma and trust in young people seeking support for their own or a friend's symptoms: the role of threat appraisals

Sofia M. Pimenta*, Simon C. Hunter, Susan Rasmussen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
12 Downloads (Pure)


Background: Stigma and trust influence how adolescents seek support for mental illness, though it is unclear how these influence their decisions to approach a range of potential sources of support. Moreover, even less is known about the ways in which these issues are related when a friend discloses symptoms of mental illness.
Objective: The study’s aims were to understand the role of stigma, trust, and threat appraisals in adolescents’ support seeking when exposed to their own, or to a friend’s, symptoms of mental illness.
Method: A vignette-based study comparing reports of support (friends, parents, teachers, professionals, and online) was completed with reference to either (i) experiencing symptoms of mental illness or (ii) having a friend disclose these types of symptoms. Two hundred and fifty adolescents (M=12.75 years) answered questions pertaining to stigma (public and self), trust levels, threat appraisals, and support seeking.
Results: When dealing with their own symptoms, threat accounted for 4.8% and 2.5% of the variance when seeking support from parents and professionals, respectively. Self-stigma accounted for 2.4% of variance when seeking support from parents and 0.8% of variance when seeking support from professionals. Trust moderated the association between threat and the use of online support. When responding to a friend’s disclosure, higher levels of public-stigma were associated with lower support seeking from friends, parents, and professionals.
Conclusions: This study showed a distinction in how adolescents deal with their own or a friend’s symptoms of mental illness, and what resources they choose to ask for support from. Self-stigma, threat, and trust levels were particularly relevant when experiencing their own symptoms, while dealing with a friend’s disclosure was related to levels of public-stigma.
Original languageEnglish
JournalChild and Youth Care Forum
Early online date29 Jun 2022
Publication statusE-pub ahead of print - 29 Jun 2022


  • stigma
  • trust
  • disclosure
  • support seeking
  • threat
  • young people/adolescents
  • Support seeking
  • Young people
  • Stigma
  • Disclosure
  • Trust

ASJC Scopus subject areas

  • Life-span and Life-course Studies
  • Social Sciences (miscellaneous)


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