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“It Would Ruin My Life”: Pacific Islander Male Adolescents’ Perceptions of Mental Health Help-Seeking—An Interpretative Phenomenological Analysis Focus Group Study

Author

Listed:
  • Melia Fonoimoana Garrett

    (School Psychology Department, Nebo School District, Spanish Fork, UT 84660, USA
    These authors contributed equally to this work.)

  • Elizabeth A. Cutrer-Párraga

    (Counseling Psychology & Special Education, Brigham Young University, Provo, UT 84602, USA
    These authors contributed equally to this work.)

  • G. E. Kawika Allen

    (Counseling Psychology & Special Education, Brigham Young University, Provo, UT 84602, USA)

  • Ellie L. Young

    (Counseling Psychology & Special Education, Brigham Young University, Provo, UT 84602, USA)

  • Kristofer J. Urbina

    (Counseling Psychology & Special Education, Brigham Young University, Provo, UT 84602, USA)

  • Isabel Medina Hull

    (Special Education Department, Alpine School District, American Fork, UT 84003, USA)

Abstract

Given rising mental health concerns among Pacific Islander (PI) adolescents, this population remains underserved by available mental health resources. This interpretative phenomenological analysis with focus groups (IPA-FG) examined the lived experiences and perceptions of 19 male PI adolescents (ages 14–16) from Native Hawaiian, Maori, Samoan, and Tongan backgrounds regarding mental health help-seeking behaviors. Four overarching themes emerged: stigma and judgment, cultural misalignment in professional services, impact of disclosure and perceived punitive consequences, and a complex ecosystem of trusted relationships as mental health support. Notably, participants expressed belief that disclosing mental health challenges would “ruin their lives” and held misconceptions about adults’ ability to address mental health concerns. These findings are particularly significant given high suicidality rates among PI adolescents. This study provides insights for developing culturally responsive mental health interventions and highlights the urgent need to address mental health stigma within PI communities. Implications for practice are discussed.

Suggested Citation

  • Melia Fonoimoana Garrett & Elizabeth A. Cutrer-Párraga & G. E. Kawika Allen & Ellie L. Young & Kristofer J. Urbina & Isabel Medina Hull, 2025. "“It Would Ruin My Life”: Pacific Islander Male Adolescents’ Perceptions of Mental Health Help-Seeking—An Interpretative Phenomenological Analysis Focus Group Study," IJERPH, MDPI, vol. 22(1), pages 1-32, January.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:1:p:62-:d:1560298
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