Public Knowledge of Mental Health Symptoms and Help Seeking Attitude in a Population-based Sample in Hong Kong

Abstract BackgroundMental health symptoms can be subtle, resulting in delaying treatment. A prompt identification of mental signs and symptoms is important for preventing mental disorders in the public. This study examined whether local public have adequate knowledge to identify mental health symptoms and the need to get timely professional help.MethodsA population-based telephone surveys based on 4033 respondents aged 12 to 75 years were conducted in 2015 and 2018. Mental health knowledge and help seeking attitude were assessed using six vignettes depicting subtle and obvious symptoms of anxiety disorders, mixed anxiety and depressive disorders, and dementia. Logistic regression models were performed to examine association between mental health knowledge and help-seeking attitude.ResultsPoor knowledge in subtle symptoms are more likely to be males (t=-5.0, p<.001), younger (F=15.0, p<.001), have tertiary education (F= 15.0, p<.001), and employed (t=-2.1, p=.037). Binary logistic regression found that poor knowledge of subtle symptoms was associated with reluctance to professional help seeking.ConclusionsHighly educated working males are less proficiently in identifying subtle mental health symptoms. Poorly identified subtle symptoms is a major barrier to early professional help. Future research should explore specific interventions to increase knowledge and professional help seeking in this group.