Table 1

Key barrier themes and number of studies (n = 13) in which theme addressed

#

Barrier theme

Number of studies


1

Public, perceived and self-stigmatising attitudes to mental illness

10


2

Confidentiality and trust

6


3

Difficulty identifying the symptoms of mental illness

5


4

Concern about the characteristics of the provider

5


5

Reliance on self, do not want help

5


6

Knowledge about mental health services

4


7

Fear or stress about the act of help-seeking or the source of help itself

4


8

Lack of accessibility, e.g., time, transport, cost

4


9

Difficulty or an unwillingness to express emotion

3


10

Do not want to burden someone else

2


11

Prefer other sources of help (e.g., family, friends)

2


12

Worry about effect on career

1


13

Others not recognising the need for help or not having the skills to cope

1


Gulliver et al. BMC Psychiatry 2010 10:113   doi:10.1186/1471-244X-10-113

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