The aim of this umbrella review is to summarize evidence on factors that influence help-seeking and service utilization for professional mental healthcare among young people ages 0–30. The CINAHL, Cochrane, Epistemonikos, MEDLINE, PsycINFO, PubMed, and Web of Science databases were searched in December 2023 for systematic reviews in English. The search yielded 26 eligible reviews, all of which are medium or high quality. Primary study overlap was rare. Using an established framework, we organize intrapersonal (n = 37), interpersonal (n = 14), institutional (n = 9), community (n = 7), and public policy (n = 6) factors. The most frequently reviewed factor at each level is trust of professionals (intrapersonal), close others' support for treatment (interpersonal), cost (institutional), availability (community), and insurance (public policy). Stigma is widely referenced (18 reviews) and classified as multi-dimensional. Narrative synthesis reveals population-specific variability (e.g., rural, racial/ethnic minority, refugees, immigrants) in the importance of many factors. To develop interventions and healthcare systems sensitive to young people's needs, we recommend promoting stigma-reduction campaigns, and targeting trustworthiness, affordability, anonymity, accessibility, and mental health literacy. Identifying commonalities and differences across populations and contexts assists in the design of nuanced and efficient treatment delivery systems for young people, who are at a critical time for their mental health.

中文翻译：

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青年人专业心理健康的求助和服务利用相关因素：总括性综述


本伞式综述的目的是总结影响 0-30 岁年轻人专业心理健康寻求帮助和服务利用的因素的证据。2023 年 12 月检索了 CINAHL、Cochrane、Epistemonikos、MEDLINE、PsycINFO、PubMed 和 Web of Science 数据库的英文系统评价。搜索产生了 26 条符合条件的评论，所有评论都是中等或高质量。主要研究重叠很少见。使用已建立的框架，我们组织了人际 （n = 37）、人际 （n = 14）、机构 （n = 9）、社区 （n = 7） 和公共政策 （n = 6） 因素。每个级别最常审查的因素是专业人士的信任（人际）、密切他人对治疗的支持（人际）、成本（机构）、可用性（社区）和保险（公共政策）。耻辱被广泛引用（18 篇评论）并被归类为多维的。叙述综合揭示了人群特异性变异性（例如，农村、种族/少数民族、难民、移民）在许多因素的重要性中。为了开发对年轻人需求敏感的干预措施和医疗保健系统，我们建议促进减少耻辱感的运动，并针对可信度、可负担性、匿名性、可及性和心理健康素养。确定不同人群和环境的共同点和差异有助于为处于心理健康关键时期的年轻人设计细致入微且高效的治疗提供系统。