The majority of mental illnesses develop during the teenage years, and such mental health conditions can significantly derail psychosocial development. However, many adolescents are reluctant to pursue mental health services or do not know how to help their peers who may be struggling. Stigma and low mental health knowledge have been identified as leading barriers to such mental health help-seeking. In response, there has been increasing interest in understanding the development of stigma among youth and evidence-base interventions to reduce stigma. The focus of this narrative review was to summarize findings from the adolescent mental illness stigma literature and to link findings to a multidimensional and theoretical model of stigma and adolescent development, with the goals of informing future research and evidence-based stigma reduction practices. Existing evidence suggests that stigma is well-documented among adolescents, but that little consensus exists regarding how to implement successful adolescent-focused mental illness stigma reduction programs. Suggestions for improvement include evaluating the multiple dimensions of mental illness stigma when conducting research, considering the impact of adolescent development on program development and evaluation, using reliable and valid outcome measures, and employing strong research designs (e.g., randomized trials with fidelity checks and long-term follow-ups) to evaluate standardized programs.
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Adler, A. K., & Wahl, O. F. (1998). Children’s beliefs about people labeled mentally ill. Journal of the American Orthopsychiatric Association, 68, 321–326. https://doi.org/10.1037/h0080341.
Allport, G. W. (1954). The nature of prejudice. New York: Doubleday Anchor Books.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Arlington: American Psychiatric Publishing.
Anyon, Y., Ong, S. L., & Whitaker, K. (2014). School-based mental health prevention for Asian American adolescents: Risk behaviors, protective factors, and service use. Asian American Journal of Psychology, 5, 134.
Augoustinos, M., & Rosewarne, D. L. (2001). Stereotype knowledge and prejudice in children. British Journal of Developmental Psychology, 19, 143–156. https://doi.org/10.1348/026151001165912.
Bailey, S. (1999). Young people, mental illness, and stigmatization. Psychiatric Bulletin, 23, 107–110. https://doi.org/10.1192/pb.23.2.107.
Batterham, P. J. (2015). The need for nuanced stigma-reduction programmes to improve help seeking for mental health problems. Evidence-based Mental Health, 18, 121. https://doi.org/10.1136/eb-2015-102071.
Bowers, H., Manion, I., Papadopoulos, D., & Gauvreau, E. (2013). Stigma in school-based mental health: Perceptions of young people and service providers. Child and Adolescent Mental Health, 18, 165–170. https://doi.org/10.1111/j.1475-3588.2012.00673.x.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.
Bulanda, J. J., Bruhn, C., Byro-Johnson, T., & Zentmyer, M. (2014). Addressing mental health stigma among young adolescents: Evaluation of a youth-led approach. Health and Social Work, 39, 73–80.
Burns, J. R., & Rapee, R. M. (2006). Adolescent mental health literacy: Young people’s knowledge of depression and help seeking. Journal of Adolescence, 29, 225–239. https://doi.org/10.1016/j.adolescence.2005.05.004.
Campbell, J. D., Trapnell, P. D., Heine, S. J., Katz, I. M., Lavallee, L. F., & Lehman, D. R. (1996). Self-concept clarity: Measurement, personality correlates, and cultural boundaries. Journal of Personality and Social Psychology, 70, 141–156. https://doi.org/10.1037/0022-35126.96.36.1994.
Cauce, A. M., Domenech-Rodríguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnik, D., & Baydar, N. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journalof Consulting and Clinical Psychology, 70, 44–55. https://doi.org/10.1037//0022-006X.70.1.44.
Centers for Disease Control and Prevention (2013). Children’s mental health: Report on data. Retrieved from https://www.cdc.gov/ncbddd/childdevelopment/documents/CMH-feature-2013-05-16-updated.pdf.
Chandra, A., & Minkovitz, C. S. (2007). Factors that influence mental illness stigma among 8th grade adolescents. Journal of Youth and Adolescence, 36, 763–774. https://doi.org/10.1007/s10964-006-9091-0.
Chen, S. P., Koller, M., Krupa, T., & Stuart, H. (2016). Contact in the classroom: Developing a program model for youth mental health contact-based anti-stigma education. Community Mental Health Journal, 52, 281–293. https://doi.org/10.1007/s10597-015-9944-7.
Chisholm, K., Patterson, P., Greenfield, S., Turner, E., & Birchwood, M. (2016a). Adolescent construction of mental illness: implication for engagement and treatment. Early intervention in psychiatry, 12(4), 626–636.
Chisholm, K., Patterson, P., Torgerson, C., Turner, E., Jenkinson, D., & Birchwood, M. (2016b). Impact of contact on adolescents’ mental health literacy and stigma: The SchoolSpace cluster randomised controlled trial. BMJ Open, 6, 1–11.
Christiana, J. M., Gilman, S. E., Guardino, M., Mickelson, K., Morselli, P. L., Olfson, M., & Kessler, R. C. (2000). Duration between onset and time of obtaining initial treatment among people with anxiety and mood disorders: An international survey of members of mental health patient advocate groups. Psychological Medicine, 30, 693–703. https://doi.org/10.1017/S0033291799002093.
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J.S., Thornicroft, G. (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. https://doi.org/10.1017/S0033291714000129.
Coles, M. E., Ravid, A., Gibb, B., George-Denn, D., Bronstein, L. R., & McLeod, S. (2016). Adolescent mental health literacy: Young people’s knowledge of depression and social anxiety disorder. Journal of Adolescent Health, 58, 57–62. https://doi.org/10.1016/j.jadohealth.2015.09.017.
Corrigan, P., Michaels, P. J., & Morris, S. (2015). Do the effects of antistigma programs persist over time? Findings from a meta-analysis. Psychiatric Services, 66, 543–546. https://doi.org/10.1176/appi.ps.201400291.
Corrigan, P. W. (2000). Mental illness stigma as social attribution: Implications for research methods and attitude change. Clinical Psychology Science and Practice, 7, 48–67. https://doi.org/10.1093/clipsy.7.1.48.
Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15, 37–70. https://doi.org/10.1177/1529100614531398.
Corrigan, P. W., Larson, J. E., & Rüsch, N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8, 75–81. https://doi.org/10.1002/j.20515545.2009.tb00218.x.
Corrigan, P. W., Lurie, B. D., Goldman, H. H., Slopen, N., Medasani, K., & Phelan, S. (2005). How adolescents perceive the stigma of mental illness and alcohol abuse. Psychiatric Services, 56, 544–550. https://doi.org/10.1176/appi.ps.56.5.544, https://doi.org/10.1093/oxfordjournals.schbul.a007096.
Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63, 963–973. https://doi.org/10.1176/appi.ps.201100529.
Corrigan, P. W., Rowan, D., Green, A., Lundin, R., River, P., Uphoff-Wasowski, K., White, K., Kubiak, M. A. (2002). Challenging two mental illness stigmas: Personal responsibility and dangerousness. Schizophrenia Bulletin, 28, 293–309. https://doi.org/10.1093/oxfordjournals.schbul.a006939.
Corrigan, P. W., Thompson, V., Lambert, D., Noel, J., & Campbell, J. (2003). Perceptions of discrimination among persons with serious mental illness. Psychiatric Services, 54, 1105–1110. https://doi.org/10.1176/appi.ps.54.8.1105.
Corrigan, P. W., Watson, A. C., Otey, E., Westbrook, A. L., Gardner, A. L., Lamb, T. A., & Fenton, W. S. (2007). How do children stigmatize people with mental illness? Journal of Applied Social Psychology, 37, 1405–1417. https://doi.org/10.1111/j.1559-1816.2007.00218.x.
Corrigan, P. W., & Watson, A. W. (2007). How children stigmatize people with mental illness. International Journal of Social Psychiatry, 53, 526–546. https://doi.org/10.1177/0020764007078359.
Cotton, S. M., Wright, A., Harris, M. G., Jorm, A. F., & McGorry, P. D. (2006). Influence of gender on mental health literacy in young Australians. Australian and New Zealand Journal of Psychiatry, 40, 790–796. https://doi.org/10.1080/j.1440-1614.2006.01885.x.
Delgado, M., & Zhou, H. (2008). Youth-led health promotion in urban communities: A community capacity-enhancement perspective. New York: Rowman & Littlefield.
DeLuca, J. S., Evans, M., Reyes, I., & Yanos, P. T. (2016). An initial evaluation of in our own voice in a diverse high school. Unpublished raw data.
Divin, N., Harper, P., Curran, E., Corry, D., & Leavey, G. (2018). Help-seeking measures and their use in adolescents: A systematic review. Adolescent Research Review(Advance online publication).
Dolphin, L., & Hennessy, E. (2014). Adolescents׳ perceptions of peers with depression: An attributional analysis. Psychiatry Research, 218, 295–302. https://doi.org/10.1016/j.psychres.2014.04.051.
Dolphin, L., & Hennessy, E. (2016). Depression stigma among adolescents in Ireland. Stigma and Health, 1, 185–200. https://doi.org/10.1037/sah0000025.
Eisenberg, D., Downs, M. F., Golberstein, E., & Zivin, K. (2009). Stigma and help seeking for mental health among college students. Medical Care Research and Review, 66, 522–541. https://doi.org/10.1177/1077558709335173.
Erikson, E. (1968). Identity, youth and crisis. New York: W.W. Norton.
Evans-Lacko, S., Little, K., Meltzer, H., Rose, D., Rhydderch, D., Henderson, C., Thornicroft, G. (2010). Development and psychometric properties of the mental health knowledge schedule. Canadian Journal of Psychiatry, 55, 440–448. https://doi.org/10.1177/070674371005500707.
Evans-Lacko, S., Rose, D., Little, K., Flach, C., Rhydderch, D., Henderson, C., Thornicroft, G. (2011). Development and psychometric properties of the reported and intended behaviour scale (RIBS): A stigma-related behaviour measure. Epidemiology and Psychiatric Sciences, 20, 263–271. https://doi.org/10.1017/S2045796011000308.
Gary, F. A. (2005). Stigma: Barrier to mental health care among ethnic minorities. Issues in Mental Health Nursing, 26, 979–999. https://doi.org/10.1080/01612840500280638.
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs: Prentice Hall.
Goguen, K., Britt, T. W., Jennings, K., Sytine, A., Jeffirs, S., Peasley, A., Zaremba, B., Palmer, J. (2016). Implicit and explicit attitudes toward mental health treatment. Journal of Social and Clinical Psychology, 35, 45–63. https://doi.org/10.1521/jscp.2016.35.1.45.
Goodwin, J., Savage, E., & Horgan, A. (2016). Adolescents’ and young adults’ beliefs about mental health services and care: A systematic review. Archives of Psychiatric Nursing, 30, 636–644. https://doi.org/10.1016/j.apnu.2016.04.004.
Grandbois, D. (2005). Stigma of mental illness among American Indian and Alaska Native nations: Historical and contemporary perspectives. Issues in Mental Health Nursing, 26, 1001–1024. https://doi.org/10.1080/01612840500280661.
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10, 113–121. https://doi.org/10.1186/1471-244X-10-113.
Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American Journal of Public Health, 103, 813–821. https://doi.org/10.2105/AJPH.2012.301069.
Heary, C., Hennessy, E., Swords, L., & Corrigan, P. (2017). Stigma towards mental health problems during childhood and adolescence: Theory, research and intervention approaches. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-017-0829-y. Advance online publication.
Hennessy, E., Swords, L., & Heary, C. (2008). Children’s understanding of psychological problems displayed by their peers: A review of the literature. Child Care, Health and Development, 34, 4–9. https://doi.org/10.1111/j.1365-2214.2007.00772.x.
Hess, S. G., Cox, T. S., Gonzales, L. C., Kastelic, E. A., Mink, S. P., Rose, L. E., & Swartz, K. L. (2004). A survey of adolescents’ knowledge about depression. Archives of Psychiatric Nursing, 18, 228–234. https://doi.org/10.1016/j.apnu.2004.09.005.
Hinshaw, S. P. (2005). The stigmatization of mental illness in children and parents: Developmental issues, family concerns, and research needs. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46, 714–734. https://doi.org/10.1111/j.1469-7610.2005.01456.x.
Hughes, D., Rodriguez, J., Smith, E. P., Johnson, D. J., Stevenson, H. C., & Spicer, P. (2006). Parents’ ethnic-racial socialization practices: A review of research and directions for future study. Developmental Psychology, 42, 747. https://doi.org/10.1037/0012-16188.8.131.527.
Jones, E., Farina, A., Hastorf, A., Marbus, H., Mitler, D., Scott, B., & French, R. (1984). Social stigma: The psychology of marked relationships. New York: Freeman.
Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about. British Journal of Psychiatry, 177, 317–327. https://doi.org/10.1192/bjp.177.5.396.
Joseph, A. J., Tandon, N., Yang, L. H., Duckworth, K., Torous, J., Seidman, L. J., & Keshavan, M. S. (2015). # Schizophrenia: Use and misuse on Twitter. Schizophrenia Research, 165, 111–115. https://doi.org/10.1016/j.schres.2015.04.009.
Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555. https://doi.org/10.1176/appi.ajp.159.9.1548.
Kaushik, A., Kostaki, E., & Kyriakopoulos, M. (2016). The stigma of mental illness in children and adolescents: A systematic review. Psychiatry Research, 243, 469–494. https://doi.org/10.1016/j.psychres.2016.04.042.
Ke, S., Lai, J., Sun, T., Yang, M. M., Wang, J. C. C., & Austin, J. (2015). Healthy young minds: The effects of a 1-hour classroom workshop on mental illness stigma in high school students. Community Mental Health Journal, 51, 329–337. https://doi.org/10.1007/s10597-014-9763-2.
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & Ustun, T. B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry, 20, 359–364. https://doi.org/10.1097/YCO.0b013e32816ebc8c.
Kissel, S. (1975). A study in childhood egocentricity. Journal of Clinical Psychology, 31(197510), 646 – 648. https://doi.org/10.1002/1097-4679(197510)31:4%3C646::AID-JCLP2270310414%3E3.0.CO;2-6.
Kobau, R., DiIorio, C., Chapman, D., & Delvecchio, P. (2010). Attitudes about mental illness and its treatment: Validation of a generic scale for public health surveillance of mental illness associated stigma. Community Mental Health Journal, 46, 164–176. https://doi.org/10.1007/s10597-009-9191-x.
Koller, M., & Stuart, H. (2016). Reducing stigma in high school youth. Acta Psychiatrica Scandinavica, 134, 63–70. https://doi.org/10.1111/acps.12613.
Kroger, J. (2004). Identity in adolescence: The balance between self and other. New York: Routledge.
Kuhn, D. (2009). Adolescent thinking. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology, Volume 1: Individual bases of adolescent development (3rd ed.), pp. 152–186). Hoboken: Wiley.
Lam, L. T. (2014). Mental health literacy and mental health status in adolescents: A population-based survey. Child and Adolescent Psychiatry and Mental Health, 8, 26–33. https://doi.org/10.1186/1753-2000-8-26.
Lawson, A., & Fouts, G. (2004). Mental illness in Disney animated films. Canadian Journal of Psychiatry, 49, 310–314. https://doi.org/10.1177/070674370404900506.
Lenhart, A. (2015). Teens, social media, and technology. Washington: Pew Research Center. Retrieved from http://www.pewinternet.org/.
Lindsey, M. A., Joe, S., & Nebbitt, V. (2010). Family matters: The role of mental illness stigma and social support on depressive symptoms and subsequent help seeking among African American boys. Journal of Black Psychology, 36, 458–482.
Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385. https://doi.org/10.1146/annurev.soc.27.1.363.
Link, B. G., Yang, L. H., Phelan, J. C., & Collins, P. Y. (2004). Measuring mental illness stigma. Schizophrenia Bulletin, 30, 511–541. https://doi.org/10.1093/oxfordjournals.schbul.a007098.
Lysaker, P. H., Roe, D., & Yanos, P. T. (2007). Toward understanding the insight paradox: Internalized stigma moderates the association between insight and social functioning, hope, and self-esteem among people with schizophrenia spectrum disorders. Schizophrenia Bulletin, 33, 192–199. https://doi.org/10.1093/schbul/sbl016.
Maas, E., Marecek, J., & Travers, J. R. (1978). Children’s conceptions of disordered behavior. Child Development, 49, 146–154. https://doi.org/10.2307/1128603.
Major, B., & O’Brien, L. T. (2005). The social psychology of stigma. Annual Review of Psychology, 56, 393–421. https://doi.org/10.1146/annurev.psych.56.091103.070137.
Marcia, J. E. (1966). Development and validation of ego-identity status. Journal of Personality and Social Psychology, 3, 551–558. https://doi.org/10.1037/h0023281.
Martinez, A. G., & Hinshaw, S. P. (2016). Mental illness stigma: Theory, developmental issues, and research priorities. Developmental Psychopathology, 20, 1–43. https://doi.org/10.1002/9781119125556.devpsy420.
Mason, R. J., Hart, L. M., Rossetto, A., & Jorm, A. F. (2015). Quality and predictors of adolescents’ first aid intentions and actions towards a peer with a mental health problem. Psychiatry Research, 228, 31–38. https://doi.org/10.1016/j.psychres.2015.03.036.
McKeague, L., Hennessy, E., O’Driscoll, C., & Heary, C. (2015). Peer Mental Health Stigmatization Scale: Psychometric properties of a questionnaire for children and adolescents. Child and Adolescent Mental Health, 20, 163–170. https://doi.org/10.1111/camh.12088.
Mellor, C. (2014). School-based interventions targeting stigma of mental illness: Systematic review. The Psychiatric Bulletin, 38, 164–171. https://doi.org/10.1192/pb.bp.112.041723.
Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. https://doi.org/10.1016/j.jaac.2010.05.017.
Merikangas, K. R., He, J. P., Burstein, M., Swendsen, J., Avenevoli, S., Case, B., Georgiades, K., Heaton, L., Swanson, S., Olfson, M. (2011). Service utilization for lifetime mental disorders in US adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 50, 32–45. https://doi.org/10.1016/j.jaac.2010.10.006.
Milburn, D. M., Fass, D., & Arseneault, L. (2017). The Prince’s Trust Macquarie youth index 2017 [Brochure]. London: The Prince’s Trust.
Milin, R., Kutcher, S., Lewis, S. P., Walker, S., Wei, Y., Ferrill, N., & Armstrong, M. A. (2016). Impact of a mental health curriculum on knowledge and stigma among high school students: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 55, 383–391.
Miller, P. K., Cuthbertson, C., Skidmore, M., & Loveridge, S. (2017). National mental-health survey finds widespread ignorance, stigma. MSU Today. Retrieved from http://msutoday.msu.edu/news.
Mojtabai, R., Olfson, M., & Han, B. (2016). National trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics, 138, 1–10. https://doi.org/10.1542/peds.2016-1878.
Moses, T. (2009). Stigma and self-concept among adolescents receiving mental health treatment. American Journal of Orthopsychiatry, 79, 261–274. https://doi.org/10.1037/a0015696.
Moses, T. (2010). Being treated differently: Stigma experiences with family, peers, and school staff among adolescents with mental health disorders. Social Science and Medicine, 70, 985–993. https://doi.org/10.1016/j.socscimed.2009.12.022.
Moses, T. (2010). Adolescent mental health consumers’ self-stigma: associations with parents’ and adolescents’ illness perceptions and parental stigma. Journal of Community Psychology, 38, 781–798. https://doi.org/10.1002/jcop.20395.
Moses, T. (2011). Stigma apprehension among adolescents discharged from brief psychiatric hospitalization. The Journal of Nervous and Mental Disease, 199, 778–789. https://doi.org/10.1097/NMD.0b013e31822fc7be.
Moses, T. (2014). Determinants of mental illness stigma for adolescents discharged from psychiatric hospitalization. Social Science and Medicine, 109, 26–34. https://doi.org/10.1016/j.socscimed.2013.12.032.
Mueller, J., Callanan, M. M., & Greenwood, K. (2016). Communications to children about mental illness and their role in stigma development: An integrative review. Journal of Mental Health, 25, 62–70. https://doi.org/10.3109/09638237.2015.1021899.
Munson, M. R., Narendorf, S. C., & McMillen, J. C. (2011). Knowledge of and attitudes towards behavioral health services among older youth in the foster care system. Child and Adolescent Social Work Journal, 28, 97–112.
Nam, S. K., Choi, S. I., Lee, J. H., Lee, M. K., Kim, A. R., & Lee, S. M. (2013). Psychological factors in college students’ attitudes toward seeking professional psychological help: A meta-analysis. Professional Psychology Research and Practice, 44, 37–45. https://doi.org/10.1037/a0029562.
Newcomb-Anjo, S. E. (2018). Applying what is known about adolescent development to improve school-based mental health literacy of depression interventions: Bridging research to practice. Adolescent Research Review(Advance online publication).
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents. JAMA Psychiatry, 70, 300–310. https://doi.org/10.1001/2013.jamapsychiatry.55.
O’Driscoll, C., Heary, C., Hennessy, E., & McKeague, L. (2012). Explicit and implicit stigma towards peers with mental health problems in childhood and adolescence. Journal of Child Psychology and Psychiatry and Allied Disciplines, 53, 1054–1062. https://doi.org/10.1111/j.1469-7610.2012.02580.x.
Olsson, D. P., & Kennedy, M. G. (2010). Mental health literacy among young people in a small US town: Recognition of disorders and hypothetical helping responses. Early Intervention in Psychiatry, 4, 291–298. https://doi.org/10.1111/j.1751-7893.2010.00196.x.
Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133, 328–345. https://doi.org/10.1037/0033-2909.133.2.328.
Pachankis, J. E., Hatzenbuehler, M. L., & Starks, T. J. (2014). The influence of structural stigma and rejection sensitivity on young sexual minority men’s daily tobacco and alcohol use. Social Science and Medicine, 103, 67–75. https://doi.org/10.1016/j.socscimed.2013.10.005.
Penn, D. L., Judge, A., Jamieson, P., Garczynski, J., Hennessy, M., & Romer, D. (2005). Stigma. In M. Seligman (Ed.), Treatments for adolescents that work. London: Oxford Press.
Peplak, J., Song, J. H., Colasante, T., & Malti, T. (2017). Only you can play with me!” Children’s inclusive decision making, reasoning, and emotions based on peers’ gender and behavior problems. Journal of Experimental Child Psychology, 162, 134–148. https://doi.org/10.1016/j.jecp.2017.04.019.
Pescosolido, B. A., Fettes, D. L., Martin, J. K., Monahan, J., & McLeod, J. D. (2007). Perceived dangerousness of children with mental health problems and support for coerced treatment. Psychiatric Services, 58, 619–625. https://doi.org/10.1176/ps.2007.58.5.619.
Pescosolido, B. A., & Martin, J. K. (2015). The stigma complex. Annual Review of Sociology, 41, 87–116. https://doi.org/10.1146/annurev-soc-071312-145702.
Pescosolido, B. A., Martin, J. K., Long, J. S., Medina, T. R., Phelan, J. C., & Link, B. G. (2010). “A disease like any other?” A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. American Journal of Psychiatry, 167, 1321–1330. https://doi.org/10.1176/appi.ajp.2010.09121743.
Pescosolido, B. A., Medina, T. R., Martin, J. K., & Long, J. S. (2013). The “backbone” of stigma: identifying the global core of public prejudice associated with mental illness. American Journal of Public Health, 103, 853–860. https://doi.org/10.2105/AJPH.2012.301147.
Pettigrew, T. F., & Tropp, L. R. (2008). How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators. European Journal of Social Psychology, 38(6), 922–934.
Piaget, J. (1972). Intellectual evolution from adolescence to adulthood. Human Development, 15, 1–12. https://doi.org/10.1159/000271225.
Pinto, M. D., Hickman, R., Logsdon, M. C., & Burant, C. (2012). Psychometric evaluation of the revised attribution questionnaire (r-AQ) to measure mental illness stigma in adolescents. Journal of Nursing Measurement, 20, 47–58. https://doi.org/10.1891/1061-37184.108.40.206.
Pinto-Foltz, M. D., & Logsdon, M. (2009). Conceptual model of research to reduce stigma related to mental disorders in adolescents. Issues in Mental Health Nursing, 30, 788–795. https://doi.org/10.3109/01612840903267620.
Pinto-Foltz, M. D., Logsdon, M. C., & Myers, J. A. (2011). Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Social Science and Medicine, 72, 2011–2019. https://doi.org/10.1016/j.socscimed.2011.04.006.
Plemmons, G. (2017). Trends in suicidality and serious self-harm for children 5–17 years at 32 US children’s hospitals, 2008–2015. In: Paper presented at the meeting of the Pediatric Academic Societies Meeting, San Francisco.
Poster, E. C., Betz, C., McKenna, A., & Mossar, M. (1986). Children’s attitudes toward the mentally ill as reflected in human figure drawings and stories. Journal of the American Academy of Child Psychiatry, 25(5), 680–686.
Roberts, M. C., Beidleman, W. B., & Wurtele, S. K. (1981). Children’s perceptions of medical and psychological disorders in their peers. Journal of Clinical Child Psychology, 10, 76–78. https://doi.org/10.1080/15374418109533018.
Roberts, M. C., Johnson, A. Q., & Beidleman, W. B. (1984). The role of socioeconomic status on children’s perceptions of medical and psychological disorders. Journal of Clinical Child Psychology, 13, 243–249. https://doi.org/10.1080/15374418409533197.
Rose, D., Thornicroft, G., Pinfold, V., & Kassam, A. (2007). 250 Labels used to stigmatise people with mental illness. BMC Health Services Research, 7, 1–7. https://doi.org/10.1186/1472-6963-7-97.
Rutland, A., & Killen, M. (2015). A developmental science approach to reducing prejudice and social exclusion: Intergroup processes, social-cognitive development, and moral reasoning. Social Issues and Policy Review, 9, 121–154. https://doi.org/10.1111/sipr.12012.
Salerno, J. P. (2016). Effectiveness of universal school-based mental health awareness programs among youth in the united states: A systematic review. Journal of School Health, 86, 922–931. https://doi.org/10.1111/josh.12461.
Schachter, H. M., Girardi, A., Ly, M., Lacroix, D., Lumb, A. B., van Berkom, J., & Gill, R. (2008). Effects of school-based interventions on mental illness stigmatization: A systematic review. Child and Adolescent Psychiatry and Mental Health, 2, 1–14. https://doi.org/10.1186/1753-2000-2-18.
Sharpe, H., Patalay, P., Vostanis, P., Belsky, J., Humphrey, N., & Wolpert, M. (2017). Use, acceptability and impact of booklets designed to support mental health self-management and help seeking in schools: Results of a large randomised controlled trial in England. European Child and Adolescent Psychiatry, 26, 315–324. https://doi.org/10.1007/s00787-016-0889-3.
Shechtman, Z., Vogel, D. L., Strass, H. A., & Heath, P. J. (2016). Stigma in help-seeking: The case of adolescents. British Journal of Guidance and Counselling. https://doi.org/10.1080/03069885.2016.1255717(Advance Online Publication).
Sigelman, C. K., & Begley, N. L. (1987). The early development of reactions to peers with controllable and uncontrollable problems. Journal of Pediatric Psychology, 12, 99–115. https://doi.org/10.1093/jpepsy/12.1.99.
Silke, C., Swords, L., & Heary, C. (2016). The development of an empirical model of mental health stigma in adolescents. Psychiatry Research, 242, 262–270. https://doi.org/10.1016/j.psychres.2016.05.033.
Spencer, M. S., Chen, J., Gee, G. C., Fabian, C. G., & Takeuchi, D. T. (2010). Discrimination and mental health-related service use in a national study of Asian Americans. American Journal of Public Health, 100, 2410–2417. https://doi.org/10.2105/AJPH.2009.176321.
Spitzer, A., & Cameron, C. (1995). School-age children’s perceptions of mental illness. Western Journal of Nursing Research, 17, 398–415. https://doi.org/10.1177/019394599501700405.
Steinberg, L., & Monahan, K. C. (2007). Age differences in resistance to peer influence. Developmental Psychology, 43, 1531–1543. https://doi.org/10.1037/0012-16220.127.116.111.
Steinberg, L., & Morris, A. S. (2001). Adolescent development. Annual Review of Psychology, 52, 83–110. https://doi.org/10.1146/annurev.psych.52.1.83.
Suldo, S. M., Thalji-Raitano, A., Kiefer, S. M., & Ferron, J. M. (2016). Conceptualizing high school students’ mental health through a dual-factor model. School Psychology Review, 45, 434–457. https://doi.org/10.17105/SPR45-4.434-457.
Tajfel, H., & Turner, J. C. (1986). The social identity theory of intergroup behavior. In S. Worchel & W. G. Austin (Eds.), Psychology of intergroup relations (pp. 7–24). Chicago: Nelson.
Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., Koschorke, M., Shidhaye, R., O’Reilly, C., Henderson, C. (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet, 387, 1123–1132. https://doi.org/10.1192/bjp.bp.114.151944.
Trump, D. J. (2017). [realDonaldTrump] I heard poorly rated @Morning_Joe speaks badly of me (don’t watch anymore). Then how come low I.Q. Crazy Mika, along with Psycho Joe, came.. [Tweet]. Retrieved from https://twitter.com/realDonaldTrump/status/880408582310776832.
Twenge, J. M., Joiner, T. E., Rogers, M. L., & Martin, G. N. (2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among US adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science, 6, 3–17. https://doi.org/10.1177/2167702617723376.
Vogel, D. L., Armstrong, P. I., Tsai, P. C., Wade, N. G., Hammer, J. H., Efstathiou, G., Holtham, E., Kouvaraki, E., Liao, H. Y., Shechtman, Z., Topkaya, N. (2013a). Cross-cultural validity of the Self-Stigma of Seeking Help (SSOSH) scale: Examination across six nations. Journal of Counseling Psychology, 60, 303–310. https://doi.org/10.1037/a0032055.
Vogel, D. L., Bitman, R. L., Hammer, J. H., & Wade, N. G. (2013b). Is stigma internalized? The longitudinal impact of public stigma on self-stigma. Journal of Counseling Psychology, 60, 311–316. https://doi.org/10.1037/a0031889.
Vogel, D. L., Wade, N. G., & Ascheman, P. L. (2009). Measuring perceptions of stigmatization by others for seeking psychological help: Reliability and validity of a new stigma scale with college students. Journal of Counseling Psychology, 56, 301–308. https://doi.org/10.1037/a0014903.
Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325–337. https://doi.org/10.1037/0022-018.104.22.1685.
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54, 40–50. https://doi.org/10.1037/0022-022.214.171.124.
Vogel, D. L., & Wester, S. R. (2003). To seek help or not to seek help: The risks of self-disclosure. Journal of Counseling Psychology, 50, 351–361. https://doi.org/10.1037/0022-0126.96.36.1991.
Vogel, D. L., Wester, S. R., Wei, M., & Boysen, G. A. (2005). The role of outcome expectations and attitudes on decisions to seek professional help. Journal of Counseling Psychology, 52, 459–470. https://doi.org/10.1037/0022-0188.8.131.529.
Wahl, O., Rothman, J., Brister, T., & Thompson, C. (2018). Changing student attitudes about mental health conditions: NAMI ending the silence. Stigma and Health. (Advance online publication).
Wahl, O., Susin, J., Lax, A., Kaplan, L., & Zatina, D. (2012). Knowledge and attitudes about mental illness: A survey of middle school students. Psychiatric Services, 63, 649–654. https://doi.org/10.1176/appi.ps.201100358.
Wahl, O., Wood, A., Zaveri, P., Drapalski, A., & Mann, B. (2003). Mental illness depiction in children’s films. Journal of Community Psychology, 31, 553–560. https://doi.org/10.1002/jcop.10072.
Wahl, O. E. (2002). Children’s views of mental illness: A review of the literature. Psychiatric Rehabilitation Skills, 6, 134–158. https://doi.org/10.1080/10973430208408430.
Watson, A. C., Miller, F. E., & Lyons, J. S. (2005). Adolescent attitudes toward serious mental illness. The Journal of Nervous and Mental Disease, 193, 769–772. https://doi.org/10.1097/01.nmd.0000185885.04349.99.
Wei, Y., Hayden, J. A., Kutcher, S., Zygmunt, A., & McGrath, P. (2013). The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Intervention in Psychiatry, 7, 109–121.
Weiss, M. F. (1986). Children’s attitudes toward the mentally ill: A developmental analysis. Psychological Reports, 58, 11–20. https://doi.org/10.2466/pr0.19184.108.40.206.
Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., Weersing, V. R. (2017). What five decades of research tells us about the effects of youth psychological therapy: A multilevel meta-analysis and implications for science and practice. American Psychologist, 72, 79–117. https://doi.org/10.1037/a0040360.
West, J. S., Kayser, L., Overton, P., & Saltmarsh, R. (1991). Student perceptions that inhibit the initiation of counseling. The School Counselor, 39, 77–83. Retrieved from https://www.jstor.org/What is mental health? (n.d.). Retrieved from https://www.mentalhealth.gov/basics/what-is-mental-health/index.html.
Wilkins, J. E., & Velicher, W. F. (1980). A semantic differential investigation of children’s attitudes toward three stigmatized groups. Psychology in the Schools, 17, 364–371. https://doi.org/10.1002/1520-6807(198007)17:3<364::AID-PITS2310170315>3.0.CO;2-F
Williams, B., & Pow, J. (2007). Gender differences and mental health: An exploratory study of knowledge and attitudes to mental health among Scottish teenagers. Child and Adolescent Mental Health, 12, 8–12. https://doi.org/10.1111/j.1475-3588.2006.00413.x.
Wilson, C., Nairn, R., Coverdale, J., & Panapa, A. (2000). How mental illness is portrayed in children’s television. The British Journal of Psychiatry, 176, 440–443. https://doi.org/10.1192/bjp.176.5.440.
World Health Organization (2005). Atlas: child and adolescent mental health resources: Global concerns, implications for the future [PDF file]. Retrieved from http://www.who.int/mental_health/resources/Child_ado_atlas.pdf.
Wright, A., Jorm, A. F., & Mackinnon, A. J. (2011). Labeling of mental disorders and stigma in young people. Social Science and Medicine, 73, 498–506. https://doi.org/10.1016/j.socscimed.2011.06.015.
Yamaguchi, S., Mino, Y., & Uddin, S. (2011). Strategies and future attempts to reduce stigmatization and increase awareness of mental health problems among young people: A narrative review of educational interventions. Psychiatry and Clinical Neurosciences, 65, 405–415. https://doi.org/10.1111/j.1440-1819.2011.02239.x.
Yanos, P. T., Roe, D., Markus, K., & Lysaker, P. H. (2008). Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatric Services, 59, 1437–1442. https://doi.org/10.1176/ps.2008.59.12.1437.
Yap, M. B. H., Reavley, N. J., & Jorm, A. F. (2013). Associations between stigma and help-seeking intentions and beliefs: Findings from an Australian national survey of young people. Psychiatry Research, 210, 1154–1160. https://doi.org/10.1016/j.psychres.2013.08.029.
This review benefitted from conversations and feedback from Drs. Philip T. Yanos, Maureen A. Allwood, Kevin L. Nadal, and Roger J. R. Levesque, as well as two anonymous reviewers.
This study did not receive funding.
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DeLuca, J.S. Conceptualizing Adolescent Mental Illness Stigma: Youth Stigma Development and Stigma Reduction Programs. Adolescent Res Rev 5, 153–171 (2020). https://doi.org/10.1007/s40894-018-0106-3
- Mental illness
- Mental health