IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v215y2018icp69-79.html
   My bibliography  Save this article

Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line

Author

Listed:
  • Thompson, Laura K.
  • Sugg, Margaret M.
  • Runkle, Jennifer R.

Abstract

Nearly 3 out of 4 all lifelong mental disorders occur by the age of twenty-four. Remote crisis support holds great potential in filling a critical gap in complementing and expanding access to mental health services for acute episodes of mental distress in adolescents and young adults; yet little is understood about the individual factors that influence help-seeking behavior in this group. Recent evidence suggests technology-based mental health services have high acceptability among youth and may be used to treat anxiety and depression. The objective of this study was to examine county-level help-seeking behavior among adolescents and young adults using Crisis Text Line (CTL). CTL is a free, text-based crisis counseling service that has been available nationally since 2013. Spatial error regression was used to (1) identify the individual-level factors that correlate with help-seeking behavior for depression, anxiety, and suicidal thoughts and (2) to explore the geographic trends in text-based help-seeking behavior between adolescents and young adults across the rural-urban continuum. Increased rates of text-based help-seeking occurred in counties with higher mean household incomes, higher divorce rates, and lower residential stability. Rurality was the strongest predictor for low rates of help-seeking, and this finding is particularly concerning in light of elevated rates of suicide among rural counties. Rural communities, particularly those with low support-seeking behavior and comparatively high suicide rates, should be the target of future research and outreach.

Suggested Citation

  • Thompson, Laura K. & Sugg, Margaret M. & Runkle, Jennifer R., 2018. "Adolescents in crisis: A geographic exploration of help-seeking behavior using data from Crisis Text Line," Social Science & Medicine, Elsevier, vol. 215(C), pages 69-79.
    • Handle: RePEc:eee:socmed:v:215:y:2018:i:c:p:69-79
    DOI: 10.1016/j.socscimed.2018.08.025
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618304490
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2018.08.025?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Reiss, Franziska, 2013. "Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review," Social Science & Medicine, Elsevier, vol. 90(C), pages 24-31.
    2. Singh, G.K. & Siahpush, M., 2002. "Increasing rural-urban gradients in US suicide mortality, 1970-1997," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1161-1167.
    3. Hempstead, Katherine, 2006. "The geography of self-injury: Spatial patterns in attempted and completed suicide," Social Science & Medicine, Elsevier, vol. 62(12), pages 3186-3196, June.
    4. McLaughlin, Katie A. & Breslau, Joshua & Green, Jennifer Greif & Lakoma, Matthew D. & Sampson, Nancy A. & Zaslavsky, Alan M. & Kessler, Ronald C., 2011. "Childhood socio-economic status and the onset, persistence, and severity of DSM-IV mental disorders in a US national sample," Social Science & Medicine, Elsevier, vol. 73(7), pages 1088-1096.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hollar, Sara M. & Siegel, Jason T., 2020. "Self-distancing as a path to help-seeking for people with depression," Social Science & Medicine, Elsevier, vol. 245(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Schreier, Alayna & Stenersen, Madeline R. & Strambler, Michael J. & Marshall, Tim & Bracey, Jeana & Kaufman, Joy S., 2023. "Needs of caregivers of youth enrolled in a statewide system of care: A latent class analysis," Children and Youth Services Review, Elsevier, vol. 147(C).
    2. Martínez-Jiménez, Mario & Hollingsworth, Bruce & Zucchelli, Eugenio, 2024. "Socioeconomic deprivation, health and healthcare utilisation among millennials," Social Science & Medicine, Elsevier, vol. 351(C).
    3. Pryor, Laura & Strandberg-Larsen, Katrine & Nybo Andersen, Anne-Marie & Hulvej Rod, Naja & Melchior, Maria, 2019. "Trajectories of family poverty and children's mental health: Results from the Danish National Birth Cohort," Social Science & Medicine, Elsevier, vol. 220(C), pages 371-378.
    4. Franziska Reiss & Ann-Katrin Meyrose & Christiane Otto & Thomas Lampert & Fionna Klasen & Ulrike Ravens-Sieberer, 2019. "Socioeconomic status, stressful life situations and mental health problems in children and adolescents: Results of the German BELLA cohort-study," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-16, March.
    5. Gwyther Rees, 2018. "The Association of Childhood Factors with Children’s Subjective Well-Being and Emotional and Behavioural Difficulties at 11 years old," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(4), pages 1107-1129, August.
    6. Sarah E. Johnson & David Lawrence & Francisco Perales & Janeen Baxter & Stephen R. Zubrick, 2019. "Poverty, Parental Mental Health and Child/Adolescent Mental Disorders: Findings from a National Australian Survey," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 12(3), pages 963-988, June.
    7. Meyrose, Ann-Katrin & Klasen, Fionna & Otto, Christiane & Gniewosz, Gabriela & Lampert, Thomas & Ravens-Sieberer, Ulrike, 2018. "Benefits of maternal education for mental health trajectories across childhood and adolescence," Social Science & Medicine, Elsevier, vol. 202(C), pages 170-178.
    8. Nielsen, Line & Koushede, Vibeke & Vinther-Larsen, Mathilde & Bendtsen, Pernille & Ersbøll, Annette Kjær & Due, Pernille & Holstein, Bjørn E., 2015. "Does school social capital modify socioeconomic inequality in mental health? A multi-level analysis in Danish schools," Social Science & Medicine, Elsevier, vol. 140(C), pages 35-43.
    9. Charlotte Meilstrup & Lau Caspar Thygesen & Line Nielsen & Vibeke Koushede & Donna Cross & Bjørn Evald Holstein, 2016. "Does self-efficacy mediate the association between socioeconomic background and emotional symptoms among schoolchildren?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(4), pages 505-512, May.
    10. Karimli, Leyla & Ssewamala, Fred M. & Neilands, Torsten B. & Wells, Christine R. & Bermudez, Laura Gauer, 2019. "Poverty, economic strengthening, and mental health among AIDS orphaned children in Uganda: Mediation model in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 228(C), pages 17-24.
    11. Altafim, Elisa Rachel Pisani & McCoy, Dana Charles & Linhares, Maria Beatriz Martins, 2018. "Relations between parenting practices, socioeconomic status, and child behavior in Brazil," Children and Youth Services Review, Elsevier, vol. 89(C), pages 93-102.
    12. Yekaterina Chzhen & Irene Moor & William Pickett & Emilia Toczydlowska & Gonneke Stevens & UNICEF Innocenti Research Centre, 2016. "Family Affluence and Inequality in Adolescent Health and Life Satisfaction: Evidence from the HBSC study 2002-2014," Papers inwopa836, Innocenti Working Papers.
    13. Reiss, Franziska, 2013. "Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review," Social Science & Medicine, Elsevier, vol. 90(C), pages 24-31.
    14. Klocke, Andreas & Stadtmüller, Sven, 2024. "Two generations later: New evidence on health equalisation in youth," Social Science & Medicine, Elsevier, vol. 342(C).
    15. T. Gregory & E. Dal Grande & M. Brushe & D. Engelhardt & S. Luddy & M. Guhn & A. Gadermann & K.A. Schonert-Reichl & S. Brinkman, 2021. "Associations between School Readiness and Student Wellbeing: A Six-Year Follow Up Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(1), pages 369-390, February.
    16. Woong Lee & Ran Im, 2023. "An Empirical Assessment of the Interactionist Model: The Relationship Between Household Income and Depression Among Retirees in Korea," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(2), pages 729-751, April.
    17. Jennifer M. Arbiol & Angelie V. Cabajes & Rey Jan S. Pusta, 2021. "Ok or Not Ok: Mental Health Conditions of the Students amidst COVID-19," Technium Social Sciences Journal, Technium Science, vol. 21(1), pages 544-553, July.
    18. Yu-Chun Lin & Yu-Hung Chang & Huang-Ting Yan, 2020. "Is trade a blessing or a curse? A panel data analysis of the determinants of depressive disorders," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(7), pages 1113-1121, September.
    19. Jackson, Margot I., 2015. "Early childhood WIC participation, cognitive development and academic achievement," Social Science & Medicine, Elsevier, vol. 126(C), pages 145-153.
    20. Liu, Yuerong & Merritt, Darcey H., 2021. "Family routines and child problem behaviors in fragile families: The role of social demographic and contextual factors," Children and Youth Services Review, Elsevier, vol. 129(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:215:y:2018:i:c:p:69-79. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.