Every year, millions of Americans do not receive needed mental health (MH) services. Although Pacific Islanders (PI) have a high need for MH services, this group has the lowest rate of MH care help seeking. This is especially concerning as the rate of suicide has been increasing within the PI community. This study explored how Pacific Islanders think about MH supports, including their attitudes toward and perceptions of barriers to receiving MH services. An interpretative phenomenological analysis focus group study was conducted with cross-generational Pacific Islanders residing in one western state. The findings include (a) PI perceptions that MH help seeking results in family burdensomeness, stigma, and shame; (b) negotiating PI social customs and beliefs related to MH help seeking, care, and support; and (c) PI mistrust of institutional resources. These themes seemed to interact with each other and create perpetuate barriers which prevent help-seeking behaviors. Clinical and research implications will be provided. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

---

太平洋岛民对心理健康服务的看法和障碍：解释性现象学分析。


每年，数百万美国人得不到所需的心理健康 (MH) 服务。尽管太平洋岛民 (PI) 对 MH 服务的需求很高，但该群体寻求 MH 护理帮助的比例最低。这尤其令人担忧，因为 PI 社区的自杀率一直在上升。本研究探讨了太平洋岛民如何看待 MH 支持，包括他们对接受 MH 服务的态度和障碍的看法。对居住在西部一个州的跨代太平洋岛民进行了一项解释性现象学分析焦点小组研究。调查结果包括 (a) PI 认为 MH 有助于寻求解决家庭负担、耻辱和耻辱的结果； (b) 协商与 MH 寻求帮助、护理和支持相关的 PI 社会习俗和信仰； (c) PI 对机构资源的不信任。这些主题似乎相互影响，并形成了永久性的障碍，阻碍了寻求帮助的行为。将提供临床和研究意义。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。