Community Mental Health Journal

, Volume 55, Issue 2, pp 249–256 | Cite as

Willingness to Ask Tor Help Among Persons with Severe Mental illness: Call for Research

  • Jonathan D. PrinceEmail author
  • Olivia Mora
  • Andrew D. Schonebaum
Original Paper


There are times when people with severe mental illness (SMI) must be willing to ask for help (e.g., with managing symptoms). But what makes one person ask for help and another decide to go it alone? We used logistic regression to assess willingness to request assistance among 150 people with SMI. Hispanics were more likely (OR 8.51, CI 2.05–35.36, p < .01) than Caucasians to be willing to ask for help, and people with the highest incomes (relative to the lowest) were more likely (OR 7.23, CI 1.76–29.97, p > .01). Individuals with the most social support (relative to the least) were more likely (OR 12.36, CI 3.01–50.85, p < .001) to be willing to request assistance, and people who were willing to ask for help were more likely (OR 2.07, CI 1.01–4.26, p < .05) than less willing individuals to report being happy. More research is needed in order to better understand predisposition to seek aid, and interventions are needed that promote it.


Help-seeking Mental illness Social support Happiness 



The funding was supported by Fountain House.

Compliance with Ethical Standards

Conflict of interest

Jonathan D. Prince is currently receiving a grant from Fountain House, a mental health service agency in New York City. For the remaining authors none were declared.


  1. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter. Journal of Health and Social Behavior, 36, 1–10.CrossRefGoogle Scholar
  2. Bebbington, P., Brugha, T. S., Meltzer, H., Farrell, M., Ceresa, C., Jenkins, R., & Lewis, G. (2000). Psychiatric disorder and dysfunction in the UK National Survey of Psychiatric Morbidity. Social Psychiatry & Psychiatric Epidemiology, 35, 191–197.CrossRefGoogle Scholar
  3. Biddle, L., Donovan, J., Sharp, D., & Gunnell, D. (2007). Explaining non-help-seeking amongst young adults with mental distress: A dynamic interpretive model of illness behaviour. Sociology of Health and Illness, 29, 983–1002.CrossRefPubMedGoogle Scholar
  4. Bjorgvinsson, T., Kertz, S. J., Bigda-Peyton, J. S., McCoy, K. L., & Aderka, I. M. (2013). Psychometric properties of the CES-D-10 in a psychiatric sample. Assessment, 20, 429–436.CrossRefPubMedGoogle Scholar
  5. Boyd, J. E., Otilingam, P. G., & Deforge, B. R. (2014). Brief version of the internalized stigma of mental illness (ISMI) scale: Psychometric properties and relationship to depression, self esteem, recovery orientation, empowerment, and perceived devaluation and discrimination. Psychiatric Rehabilitation Journal, 37, 17–23.CrossRefPubMedGoogle Scholar
  6. Clement, S., Schauman, O., Graham, T., Maggioni, F., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45, 11–27.CrossRefPubMedGoogle Scholar
  7. Cornelius, B., Groothoff, J. W., van der Klink, J. J. L., & Brouwer, S. (2013). The performance of the K10, K6 and GHQ-12 to screen for present state DSM-IV disorders among disability claimants. BMC Public Health. Scholar
  8. Dhalla, S., & Kopec, J. A. (2007). The CAGE questionnaire for alcohol misuse: A review of reliability and validity studies. Clinical and Investigative Medicine, 30, 33–41.CrossRefPubMedGoogle Scholar
  9. Eisenberg, D., Hunt, J., & Speer, N. (2012). Help seeking for mental health on college campuses: Review of evidence and next steps for research and practice. Harvard Review of Psychiatry, 20, 222–232.CrossRefPubMedGoogle Scholar
  10. Eisenberg, D., Hunt, J., Speer, N., & Zivin, K. (2011). Mental health service utilization among college students in the United States. Journal of Nervous and Mental Disease, 199, 301–308.CrossRefPubMedGoogle Scholar
  11. Ewing, J. A. (1984). Detecting alcoholism. The CAGE questionnaire. Journal of the American Medical Association, 252, 1905–1907.CrossRefPubMedGoogle Scholar
  12. Giffort, D., Schmook, A., Woody, C., Vollendorf, C., & Gervain, M. (1995). Recovery assessment scale. Chicago, IL: Illinois Department of Mental Health.Google Scholar
  13. Inter-university Consortium for Political and Social Research. (2016). Collaborative psychiatric epidemiology survey. Retrieved from
  14. Kessler, R. C., Barker, P. R., Colpe, L. J., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189.CrossRefGoogle Scholar
  15. Mojtabai, R., Olfson, M., Sampson, N. A., Jin, R., et al. (2011). Barriers to mental health treatment: Results from the National comorbidity survey replication. Psychological Medicine, 41, 1751–1761.CrossRefGoogle Scholar
  16. Moser, A., Stuck, A. E., Silliman, R. A., Ganz, P. A., & Clough-Gorra, K. M. (2012). The eight-item modified medical outcomes study social support survey: Psychometric evaluation showed excellent performance. Journal of Clinical Epidemiology, 65, 1107–1116.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Rickwood, D., & Thomas, K. (2012). Conceptual measurement framework for help-seeking for mental health problems. Psychology Research and Behavior Management, 5, 173–183.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Ritsher J. B., Otilingam, P. O., & Grajales, M. (2003) Internalized stigma of mental illness: Psychometric properties of a new measure. Psychiatry Research, 121, 31–49.CrossRefPubMedGoogle Scholar
  19. Salzer, M. S., & Brusilovskiy, E. (2014). Advancing recovery science: Reliability and validity properties of the recovery assessment scale. Psychiatric Services, 65, 442–453.CrossRefPubMedGoogle Scholar
  20. Savage, H., Murray, J., Hatch, S. L., Hotopf, M., Evans-Lacko, S., & Brown, J. S. L. (2016). Exploring professional help-seeking for mental disorders. Qualitative Health Research, 26, 1662–1673.CrossRefPubMedGoogle Scholar
  21. Schomerus, G., & Angermeyer, M. C. (2008). Stigma and its impact on help-seeking for mental disorders: What do we know? Epidemiologia E Psichiatria Sociale, 17, 31–37.CrossRefPubMedGoogle Scholar
  22. Sherbourne, C., & Stewart, A. (1991). The MOS social support survey. Social Science & Medicine, 32, 705–714.CrossRefGoogle Scholar
  23. Sosulski, M. R., & Woodward, A. T. (2013). African American women living with mental disorders: Factors associated with help seeking from professional services and informal supports. Social Work in Public Health, 28, 660–671.CrossRefPubMedGoogle Scholar
  24. Villatoro, A. P., Morales, E. S., & Mays, V. M. (2014). Family culture in mental health help-seeking and utilization in a nationally representative sample of Latinos in the United States: The NLAAS. American Journal of Orthopsychiatry, 84, 353–363.CrossRefPubMedGoogle Scholar
  25. Yeung, E. Y., Irvine, F., Ng, S., & Tsang, S. K. M. (2013). Role of social networks in the help-seeking experiences among Chinese suffering from severe mental illness in England: A qualitative study. British Journal of Social Work, 43, 486–503.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Jonathan D. Prince
    • 1
    Email author
  • Olivia Mora
    • 2
  • Andrew D. Schonebaum
    • 3
  1. 1.Silberman School of Social Work at Hunter CollegeCity University of New YorkNew YorkUSA
  2. 2.Smith College School for Social WorkNorthamptonUSA
  3. 3.Fountain HouseNew YorkUSA

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